Shannon Fogarty, OT

NPI #1518261924 in Mount Dora, Florida

Provider Information

NPI Number: 1518261924
Entity Type: Individual
Name: Shannon Fogarty, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Dec 28, 2010
Last Updated: Dec 28, 2010

Practice Location

Address: 3050 BROWN AVE
City: Mount Dora
State: Florida
ZIP Code: 32757-3453
Phone: (352) 383-4161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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