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1821535741
SHANNON KELLY
ROCKLIN, CA
NPI
1821535741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 16889)
Enumeration Date
2017-01-30
Last Update Date
2017-01-30
Business Address
-- SHANNON KELLY OTR/L
6960 DESTINY DR STE 112
ROCKLIN, CA 95677-2995
Phone number: 916-415-0119
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Mailing Address
-- SHANNON KELLY OTR/L
6960 DESTINY DR STE 112
ROCKLIN, CA 95677-2995
Phone number: 916-415-0119
Copy
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