Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON LYLE PETERSON, OTA
Active Sole ProprietorSHANNON LYLE PETERSON, OTA is a Occupational Therapy Assistant healthcare provider located in HENDERSONVILLE, North Carolina. NPI 1588212161 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · HENDERSONVILLE, NC
Registration Details
- NPI Number
- 1588212161
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2019 (6.9300803399097 yrs)
- Last Updated
- Aug 28, 2019
- License
-
8145 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1870 PISGAH DRHENDERSONVILLE, NC, 287913759Browse NC providers · Browse ZIP 28791
- Phone
- 8286939796
- Fax
- 8286931321
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in HENDERSONVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| JUDY A. VANGELIS | COTA | 1346430451 |
| MRS. STAR BUTLER | COTA | 1881858421 |
| SHARON RODMAN | — | 1730436437 |
| HAZEL KAYE P LITTRELL | COTA/L | 1164928297 |
| LINDSEY ALEXANDER CONLEY | — | 1942790209 |
| BETH LYNN GALLOWAY | OTA | 1306494711 |
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.