Individual
MARION T SHAFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
15645 84TH ST, HOWARD BEACH, NY 11414-2617
(718) 848-8680
Mailing address
16215 HIGHLAND AVE, 6S, JAMAICA, NY 11432-3452
(917) 991-2632
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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