NPI 1023299757
Tara Alicia Shannon
Practice location
- Address
- 35 River St, Billerica, MA 01821-1827
- Phone
- (978) 436-9405
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1023299757
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Nov 2007
- Record last updated
- 22 Nov 2007
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.