Shannon Weed
Occupational Therapy Assistant in Oconto, WI. Individual provider (NPI-1).
NPI number1831745546
StatusActive
Last updated in NPPESAug 18, 2019
Details
- NPI
- 1831745546
- Entity type
- Individual (NPI-1)
- Name
- Shannon Weed
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2019
- Last updated
- Aug 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | – | Yes |
Practice location
101 1st StOconto, WI 54153-1117
Phone 920-834-4575
Mailing address
W6444 Two Mile RdPorterfield, WI 54159-9343
Phone 715-923-7374
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