MS. Shannon Wall Mangum, OTR
NPI #1003203282 in New Orleans, Louisiana
Provider Information
- NPI Number
- 1003203282
- Entity Type
- Individual
- Name
- MS. Shannon Wall Mangum, OTR
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTR
- Enumeration Date
- Apr 24, 2015
- Last Updated
- Apr 24, 2015
Practice Location
- Address
- 1900 GRAVIER ST
- City
- New Orleans
- State
- Louisiana
- ZIP Code
- 70112-2262
- Phone
- (504) 568-4302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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