Individual provider · Type 1 NPI

Shannon Jo Wyatt-Nyquist, OTD, OTR/L

Occupational Therapist · Durham, NC

NPI number 1962050161 Active

Practice location

3609 SW Durham Dr
Durham, NC 27707-6507

Call (919) 613-5002 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X12723 (NC)

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 1962050161

Shannon Jo Wyatt-Nyquist, OTD, OTR/L's National Provider Identifier is 1962050161, issued on Aug 30, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Durham, NC. The record was last updated on Dec 19, 2022.