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Individual
MRS. SHANNON MARIE TYCHNOWITZ
Active
Individual
MRS. SHANNON MARIE TYCHNOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112615
TX
Other
Enumeration date
10/05/2006
Last updated
05/13/2014
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