Individual
RHIANNON SHANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1684 VULCAN ST, MUSKEGON, MI 49442-6070
(231) 777-2511
Mailing address
949 10 MILE RD NW, SPARTA, MI 49345-9378
(616) 916-8179
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008114
MI
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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