Individual
SHAWNA DEHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
8320 CITY CENTRE DR, WOODBURY, MN 55125-3382
(651) 738-9888
Mailing address
1977 SIERRA DR, HASTINGS, MN 55033-4073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103722
MN
Other
Enumeration date
12/23/2009
Last updated
09/13/2010
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