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1962268961
SHANNON CLARK
CHARLOTTESVILLE, VA
NPI
1962268961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2024-02-27
Last Update Date
2024-02-27
Business Address
SHANNON CLARK OT
2280 IVY RD
CHARLOTTESVILLE, VA 22903-4977
Phone number: 434-243-0311
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Mailing Address
SHANNON CLARK OT
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number: 434-295-1000
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