MR. Shannon Lane Brown, COTA
NPI #1578857363 in Bay Springs, Mississippi
Provider Information
- NPI Number
- 1578857363
- Entity Type
- Individual
- Name
- MR. Shannon Lane Brown, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Jun 9, 2011
- Last Updated
- Jun 9, 2011
Practice Location
- Address
- 43 COUNTY ROAD 1721
- City
- Bay Springs
- State
- Mississippi
- ZIP Code
- 39422-9804
- Phone
- (601) 467-3476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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