Individual
CARRISSA SHOTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3333 BURNET AVE # MLC4007, CINCINNATI, OH 45229-3026
(513) 636-4651
Mailing address
3333 BURNET AVE # MLC4007, CINCINNATI, OH 45229-3026
(513) 636-4651
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6507
OH
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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