NPI 1003203282

Shannon Wall Mangum, OTR

Practitioner Occupational Therapist New Orleans, LA

Practice location

Address: 1900 Gravier St, New Orleans, LA 70112-2262
Phone: (504) 568-4302
Fax: (504) 568-4306

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence LZ10405 (LA)

Other Occupational Therapist providers in Louisiana →

Registry record

NPI: 1003203282
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2015
Record last updated: 24 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.