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NPI Code Detail

MEDICARE: SHANNON ELIZABETH O'LEARY OTD, OTR/L

MEDICARE: SHANNON ELIZABETH O'LEARY OTD, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist17036NC
2225X00000XOccupational TherapistOC020064PA

General Provider Information

NPI Number : 1538992276
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON ELIZABETH O'LEARY OTD, OTR/L
Provider Business Mailing Address
First Line : 1508 HOLLY CIR
Second Line :
City : GLENSHAW
State : PA
Zip : 15116-2368
Country : US
Telephone Number : 412-390-7362
Fax Number :
Provider Business Practice Location Address
First Line : 1405 SHADY AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15217-1350
Country : US
Telephone Number : 412-420-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2024
Last Update Date : 12/15/2025

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