SHANNON FOGARTY

MOUNT DORA, FL
NPI1518261924
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  14130)
Enumeration Date2010-12-28
Last Update Date2010-12-28
Business Address
-- SHANNON FOGARTY OT
3050 BROWN AVE
MOUNT DORA, FL 32757-3453
Phone number: 352-383-4161
Mailing Address
-- SHANNON FOGARTY OT
355 LAKEPOINTE DR 201
ALTAMONTE SPRINGS, FL 32701-5897
Phone number:
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