Shannon Taylor, OTR/L

Individual provider Active NPI Contractor · Washington, DC

NPI 1609201011 · NPPES record last updated Sep 5, 2013

Key facts

NPI
1609201011
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
5323 D St SE
Washington, DC 20019-6128
Phone
(240) 461-2965
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

5323 D St SE
Washington, DC 20019-6128

Mailing address

5323 D St SE
Washington, DC 20019-6128
Phone (240) 461-2965

Other providers in Washington, DC

All providers in Washington, DC · Contractor in District of Columbia

Sources for this page

Verify at the official NPI Registry.