SHANNON LYLE PETERSON

HENDERSONVILLE, NC
NPI1588212161
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  8145)
Enumeration Date2019-08-28
Last Update Date2019-08-28
Business Address
SHANNON LYLE PETERSON OTA
1870 PISGAH DR
HENDERSONVILLE, NC 28791-3759
Phone number: 828-693-9796
Mailing Address
SHANNON LYLE PETERSON OTA
212 S HILLANDALE DR
EAST FLAT ROCK, NC 28726-2610
Phone number: 828-696-5949
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