Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON WALLACE
ActiveSHANNON WALLACE is a Occupational Therapist healthcare provider located in WHITE PINE, Tennessee. NPI 1437707452 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WHITE PINE, TN
Registration Details
- NPI Number
- 1437707452
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 3, 2019 (6.9105379874812 yrs)
- Last Updated
- Sep 3, 2019
- License
-
7143 (TN)
Practice Information
- Address
-
3108 CIRCLE DRWHITE PINE, TN, 378903306Browse TN providers · Browse ZIP 37890
- Phone
- 8656747454
- Primary Specialty
-
Occupational Therapist
225200000X
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.