Individual
SHANNON HAUGETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6115 RAILROAD ST, CLARENCE CENTER, NY 14032-9765
(716) 796-3828
Mailing address
6115 RAILROAD ST, CLARENCE CENTER, NY 14032-9765
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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