Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHANNON WALL MANGUM, OTR
ActiveMS. SHANNON WALL MANGUM, OTR is a Occupational Therapist healthcare provider located in NEW ORLEANS, Louisiana. NPI 1003203282 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · NEW ORLEANS, LA
Registration Details
- NPI Number
- 1003203282
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2015 (11.264838893998 yrs)
- Last Updated
- Apr 24, 2015
- License
-
LZ10405 (LA)
Practice Information
- Address
-
1900 GRAVIER STNEW ORLEANS, LA, 701122262Browse LA providers · Browse ZIP 70112
- Phone
- 5045684302
- Fax
- 5045684306
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in NEW ORLEANS, LA
| Name | Credential | NPI |
|---|---|---|
| MARY ELIZABETH HUDSON | MOT, LOTR | 1023128337 |
| BETSY CHIN LUCENA | LOTA | 1427144773 |
| KELLY LANDRY ALIG | — | 1356419576 |
| MS. ALECIA J ODEN | — | 1730226739 |
| MRS. CYNTHIA P MAURAS | L.O.T.R ., C.H.T. | 1356472252 |
| MRS. JEAN P THOMAS | L.O.T.R.,C.H.T. | 1457483182 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.