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1962081794
SHANNON FARYADI
GASTONIA, NC
NPI
1962081794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 11628)
Enumeration Date
2021-04-07
Last Update Date
2022-06-22
Business Address
Ms. SHANNON FARYADI COTA/L
1351 ROBINWOOD RD
GASTONIA, NC 28054-1693
Phone number: 704-618-3941
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Mailing Address
Ms. SHANNON FARYADI COTA/L
8125 WESTBOURNE DR
CHARLOTTE, NC 28216-1140
Phone number:
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