National Provider Identifier

Joanne M Shannon

Joanne M Shannon is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Orchard Park, NY and a listed phone number of (716) 667-2294.

NPI 1295981678Orchard Park, NYPediatric Occupational Therapist

Profile Overview

NPI
1295981678
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
August 17, 2008
Last Updated
March 16, 2010

Practice Location

  • 40 Centre Dr
  • Orchard Park, NY 14127-4100

Phone: (716) 667-2294

Mailing Address

  • 677 McKinley Pkwy
  • Buffalo, NY 14220-1521

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1295981678
Entity Type
Individual
Last Name
Shannon
First Name
Joanne
Middle Name
M
Mailing Street Address
677 McKinley Pkwy
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14220-1521
Mailing Country
US
Mailing Phone
(716) 864-9238
Practice Street Address
40 Centre Dr
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-4100
Practice Country
US
Practice Phone
(716) 667-2294
Practice Fax
(716) 667-2272
Enumeration Date
August 17, 2008
Last Updated
March 16, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)