| NPI | 1659848661 |
|---|---|
| Former Name | SHANNON F ALEXANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC015947) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC015947) |
| Enumeration Date | 2018-10-28 |
| Last Update Date | 2023-07-13 |