Shannon Grady-Tarentino, OTR/L
Occupational Therapist, Pediatrics in Staten Island, NY. Individual provider (NPI-1).
NPI number1487963906
StatusActive
Last updated in NPPESOct 1, 2010
Details
- NPI
- 1487963906
- Entity type
- Individual (NPI-1)
- Name
- Shannon Grady-Tarentino
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2010
- Last updated
- Oct 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 009275-1 | NY | Yes |
Practice location
40 Merrill AveStaten Island, NY 10314-3312
Phone 718-370-7529 · Fax 718-370-7551
Mailing address
50 Lincoln BlvdClark, NJ 07066-2530
Phone 908-966-6994
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All 91 Pediatric Occupational Therapist providers in Staten Island · All 15,106 providers in Staten Island
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