Individual
SHANNON CNUDDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2535 22ND ST, BAY CITY, MI 48708-7612
(989) 891-9800
Mailing address
2535 22ND ST, BAY CITY, MI 48708-7612
(989) 891-9800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008194
MI
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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