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1891243325
SHANNON WILSON
GREAT NECK, NY
NPI
1891243325
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Former Name
SHANNON LENTZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 009992)
Enumeration Date
2016-09-13
Last Update Date
2016-09-13
Business Address
Mrs. SHANNON WILSON OTR/L
45 N STATION PLZ
GREAT NECK, NY 11021-5033
Phone number: 516-482-2650
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Mailing Address
Mrs. SHANNON WILSON OTR/L
121 PINEWOOD RD
MANHASSET, NY 11030-1517
Phone number: 516-627-1663
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