Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Shannon Wall Mangum, OTR

Individual provider Occupational Therapist · NPI 1003203282

MS. Shannon Wall Mangum, OTR is an Occupational Therapist in New Orleans, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.

Licensed in
LA
In the registry since
2015
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1900 Gravier St
New Orleans, LA 70112-2262
Phone: (504) 568-4302
Fax: (504) 568-4306
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence LZ10405 (LA)

Record details

NPI number1003203282
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedApril 24, 2015
Last updated in NPPESApril 24, 2015

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