Individual provider · Type 1 NPI

Shannon Randall, OTR/L

Occupational Therapist · Gainesville, GA

NPI number 1013393917 Active

Practice location

2030 Windward Ln
Gainesville, GA 30501-7418

Mailing address

125 Townpark Dr NW Ste 300
Kennesaw, GA 30144-5812

Other practice locations

  • 125 Townpark Dr NW Ste 300, Kennesaw, GA 30144-5812 · (855) 423-6287

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT006090 (GA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1013393917

Shannon Randall, OTR/L's National Provider Identifier is 1013393917, issued on Aug 3, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Gainesville, GA. The record was last updated on Mar 17, 2018.