Shannon Wilson in Saint Louis - Occupational Therapist

Shannon Wilson - NPI 1174656524

Shannon Wilson is a Occupational Therapist in Saint Louis, Missouri. Shannon Wilson practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Shannon Wilson is 1174656524. The last update date is 2007-07-08.

Shannon Wilson's current location address is 12110 Clayton Rd, Saint Louis, Missouri. You can contact this provider via phone number 3149898150. The mailing address for Shannon Wilson is 12110 Clayton Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Wilson
Address 12110 Clayton Rd, Saint Louis, Missouri
Phone Number 3149898150
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1174656524
Provider Enumeration Date 2007-03-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12110 Clayton Rd
City Saint Louis
State Missouri (MO)
Post Code 631312516
Phone Number 3149898150
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 2000174751
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

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FAQs about Shannon Wilson

What is the Shannon Wilson's unique identification number?

The Shannon Wilson has been assigned the NPI (National Provider Identifier) Number 1174656524 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Shannon Wilson is physically located?

The Shannon Wilson is situated at the following address: 12110 Clayton Rd, Saint Louis, MO 631312516.

What is Shannon Wilson's area of expertise and its corresponding taxonomy classification?

The Shannon Wilson's field of specialization is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Shannon Wilson receive its 1174656524 assignment from the Centers for Medicare & Medicaid Services?

The Shannon Wilson was assigned its 1174656524 by the Centers for Medicare & Medicaid Services on 2007-03-14.

When was the information related to Shannon Wilson most recently updated or refreshed?

The details pertaining to the Shannon Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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