Kelly, Shannon
Kelly, Shannon is an sole proprietor health care provider with primary practice located at 6960 Destiny Dr Ste 112 , Rocklin CA 95677-2995. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kelly, Shannon can be contacted via phone (916) 415-0119.Contact Information
Primary practice address
6960 Destiny Dr Ste 112
Rocklin CA 95677-2995
Phone: (916) 415-0119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 16889 | California |
Profile Details
| NPI number | 1821535741 |
|---|---|
| LBN Legal business name | Kelly, Shannon |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2017 |
| Last updated | Jan 30th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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