Active NPIIndividual provider

Shannon Tambolleo, BS OT

Occupational Therapist in North Chatham, Massachusetts

NPI Number1962556845
Practice location
390 Orleans RD, North Chatham, MA 02650-1154
Fax
508-945-9603
Last updated
July 8, 2007

Shannon Tambolleo is an Occupational Therapist based in North Chatham, MA. Shannon Tambolleo practices in North Chatham, MA and has the professional credentials of BS OT. The NPI Number for Shannon Tambolleo is 1962556845 and holds a License No. 7524 (MA). The current practice location address for Shannon Tambolleo is 390 Orleans RD, North Chatham, MA 02650-1154 and can be reached out via phone at 508-945-9611 and via fax at 508-945-9603.

Provider Profile Details

NPI Number
1962556845
Provider Name
Shannon Tambolleo
Credential
BS OT
Provider Entity Type
Individual
Gender
Female
Address
390 Orleans RD, North Chatham, MA 02650-1154
Phone Number
508-945-9611
Fax Number
508-945-9603
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
January 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
390 Orleans RD
North Chatham, MA 02650-1154
Zip
02650-1154
Phone Number
508-945-9611
Fax Number
508-945-9603
North Chatham, MA 02650Get directions →

Provider Business Mailing Address Details

Address
5 Federal Ln
East Harwich, MA 02645-1348
City
East Harwich
State
MA
Zip
02645-1348
Phone Number
774-209-9187

License Information

License Number
7524
License State
MA
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon Tambolleo, BS OT?

The NPI number of Shannon Tambolleo, BS OT is 1962556845. It was assigned on January 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Shannon Tambolleo, BS OT?

Shannon Tambolleo, BS OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 7524.

Where does Shannon Tambolleo, BS OT practice?

The practice location is 390 Orleans RD, North Chatham, MA 02650-1154. The office can be reached at 508-945-9611 (phone) or 508-945-9603 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962556845 directly on the NPPES registry website.

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