| NPI | 1700214772 |
|---|---|
| Former Name | SHANNA TOLBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 9141) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OTR1033) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2021-06-21 |