Shannon Carlos, COTA
NPI #1942881735 in Groton, Connecticut
Provider Information
- NPI Number
- 1942881735
- Entity Type
- Individual
- Name
- Shannon Carlos, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Apr 14, 2021
- Last Updated
- Apr 14, 2021
Practice Location
- Address
- 1145 POQUONNOCK RD
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-4698
- Phone
- (860) 446-9960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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