Individual
SHANNON IJAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
23293 S POINTE DR, LAGUNA HILLS, CA 92653-1447
(949) 770-5843
Mailing address
23293 S POINTE DR, LAGUNA HILLS, CA 92653-1447
(949) 770-5843
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3027
CA
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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