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NPI Code Detail

MEDICARE: MRS. SHANNON PATRICIA STONE OTR/L

MEDICARE: MRS. SHANNON PATRICIA STONE 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 Therapist8120MA

General Provider Information

NPI Number : 1619276987
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNON PATRICIA STONE OTR/L
Provider Business Mailing Address
First Line : PO BOX 1110
Second Line :
City : LAKEVILLE
State : MA
Zip : 02347-1110
Country : US
Telephone Number : 508-923-6205
Fax Number :
Provider Business Practice Location Address
First Line : 184 LINCOLN ST
Second Line :
City : NORTH EASTON
State : MA
Zip : 02356-1799
Country : US
Telephone Number : 508-923-6205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2011
Last Update Date : 03/25/2011

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Directions to “ MRS. SHANNON PATRICIA STONE OTR/L” Practice Location

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