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SHANNON CASOLA OTR/L
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1710263736
Individual Registrant: SHANNON CASOLA OTR/L
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
119 KINGSTON CT DAWSONVILLE, GA 30534-6617 US
Tel: 678-767-9065 Fax: --
Tel: 678-767-9065 Fax: --
Contact information for business:
119 KINGSTON CT DAWSONVILLE, GA 30534-6617 US
Tel: 678-767-9065 Fax: --
Tel: 678-767-9065 Fax: --
Registration Information:
NPI: 1710263736
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | GA | OT005354 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
