Individual
SHANNON M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
945 E SHERMAN BLVD, NORTON SHORES, MI 49444-1805
(231) 737-4374
Mailing address
945 E SHERMAN BLVD, NORTON SHORES, MI 49444-1805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008446
MI
Other
Enumeration date
02/09/2009
Last updated
02/06/2014
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