Shannon E Tyler

NPI #1467229153 in Goodview, Virginia

Provider Information

NPI Number: 1467229153
Entity Type: Individual
Name: Shannon E Tyler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapy Assistant - Environmental Modification
Enumeration Date: Dec 4, 2023
Last Updated: Dec 4, 2023

Practice Location

Address: 1681 BLANKENSHIP RD
City: Goodview
State: Virginia
ZIP Code: 24095-2729
Phone: (540) 521-7447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant - Environmental Modification — Environmental Modification	224ZE0001X	Primary

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