Individual
ERIN SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004736A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31004736A
OCCUPATIONAL THERAPIST LICENSE
IN
Enumeration date
07/21/2009
Last updated
07/21/2009
Update your record
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