Individual
MRS. SHANNON WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 NORFLEET DR, SOMERSET, KY 42501-1952
(606) 678-8242
Mailing address
200 NORFLEET DR, SOMERSET, KY 42501-1952
(606) 678-5104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
RO178
KY
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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