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1063551729
SHANNON WALTER
BRIGHTON, MI
NPI
1063551729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: MI 5201007411)
Enumeration Date
2007-02-06
Last Update Date
2023-06-22
Business Address
SHANNON WALTER OTR
8542 W GRAND RIVER AVE
BRIGHTON, MI 48116-2326
Phone number: 734-449-4649
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Mailing Address
SHANNON WALTER OTR
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 914-294-4050
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