Provider Demographics
NPI:1700214772
Name:LAMBERT, SHANNA L (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SHANNA
Middle Name:L
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SHANNA
Other - Middle Name:
Other - Last Name:TOLBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:45 HENDERSONVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:PISGAH FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:28768-8895
Mailing Address - Country:US
Mailing Address - Phone:828-435-8300
Mailing Address - Fax:828-435-8301
Practice Address - Street 1:77 CENTRAL AVE STE A
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2452
Practice Address - Country:US
Practice Address - Phone:828-505-2999
Practice Address - Fax:828-505-4886
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYOTR1033225X00000X
NC9141225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist