Individual
SHAKEYLA DURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16B MIDWAY DR, WEST MIFFLIN, PA 15122-1591
(412) 295-0816
Mailing address
16B MIDWAY DR, WEST MIFFLIN, PA 15122-1591
(412) 295-0816
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008304
PA
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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