Shannon Nicole Boling, MOT, OTR/L

NPI #1235602012 in New Port Richey, Florida

Provider Information

NPI Number
1235602012
Entity Type
Individual
Name
Shannon Nicole Boling, MOT, OTR/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
MOT, OTR/L
Enumeration Date
Jan 4, 2019
Last Updated
Jan 4, 2019

Practice Location

Address
1726 DAVENPORT DR
State
Florida
ZIP Code
34655-4228
Phone
(727) 493-2393

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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