Shannon Walter
Occupational Therapist - Pediatrics
8542 W Grand River Ave
Brighton
, Michigan 48116-2326
Shannon Walter
Occupational Therapist - Pediatrics
8542 W Grand River Ave
Brighton
, Michigan 48116-2326
(631) 580-5222
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Shannon Walter
- 1377 Motor Pkwy Ste 307
- Islandia, NY
- Zip : 11749-5258
- Fax : (631) 580-5222
- Phone : (631) 580-5200
Second Address
- Shannon Walter
- 8542 W Grand River Ave
- Brighton, MI
- Zip : 48116-2326
- Fax : (734) 449-4669
- Phone : (734) 449-4649
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FAQs
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Is Shannon Walter board certified?
What type of doctor is Shannon Walter
In what state does Shannon Walter practice in?
Where is Shannon Walter ’s practice located?
What is Shannon Walter ’s gender?
Is Shannon Walter a sole practitioner?
Is Shannon Walter accepting new patients?
What languages does Shannon Walter speak?
Does Shannon Walter accept insurance?
Does Shannon Walter offers telemedicine?
What is Shannon Walter ’s professional license number?
What is Shannon Walter ’s NPI number?
Does Shannon Walter have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 5201007411 | MI |
National Provider Identifier
| NPI | 1063551729 |
|---|---|
| Provider Name | Shannon Walter |
| First Address | Islandia, NY 11749-5258 |
| Second Address | Brighton, MI 48116-2326 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2007 |
| Last Update Date | 31/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5201007411 | STATE LICENSE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.