Shannon, Susan M

Shannon, Susan M is an individual health care provider with primary practice located at 7985 Knight Rd , Gainesville GA 30506-6427. 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. Shannon, Susan M can be contacted via phone (770) 781-4899.

Contact Information

Primary practice address
7985 Knight Rd Gainesville GA 30506-6427
Phone: (770) 781-4899
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 46TR00412900 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT006602 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT006602

Profile Details

NPI number 1073706776
LBN Legal business name Shannon, Susan M
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2007
Last updated Sep 27th, 2022 - about 2 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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