Individual
MARION T SHAFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007212-1
NY
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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