Individual
SHANNON MARIE DASSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3235 OLIVET CHURCH RD STE D, PADUCAH, KY 42001-9545
(270) 443-5712
Mailing address
3235 OLIVET CHURCH RD STE D, PADUCAH, KY 42001-9545
(270) 443-5712
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
286357
KY
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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