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Shannon Demarco, OTR/L

Occupational Therapist in Watertown, NY. Individual provider (NPI-1).

NPI number1972885366
StatusActive
Last updated in NPPESSep 13, 2011

Details

NPI
1972885366
Entity type
Individual (NPI-1)
Name
Shannon Demarco
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 13, 2011
Last updated
Sep 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist012789NYYes

Practice location

824 Superior St
Watertown, NY 13601-1236

Phone 315-778-8504

Mailing address

824 Superior St
Watertown, NY 13601-1236

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