SHANNON WALL MANGUM

NEW ORLEANS, LA
NPI1003203282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  LZ10405)
Enumeration Date2015-04-24
Last Update Date2015-04-24
Business Address
Ms. SHANNON WALL MANGUM OTR
1900 GRAVIER ST
NEW ORLEANS, LA 70112-2262
Phone number: 504-568-4302
Mailing Address
Ms. SHANNON WALL MANGUM OTR
1900 GRAVIER ST
NEW ORLEANS, LA 70112-2262
Phone number: 504-568-4302
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