Individual
CAROL A SHABBIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2345 CANTERBURY LN, SISTER BAY, WI 54234-5602
(920) 854-4111
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
780
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40691900
—
WI
Enumeration date
08/25/2006
Last updated
08/13/2024
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