Individual
COURTNEY SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10082
MA
225X00000X
Occupational Therapist
14809
CA
225X00000X
Occupational Therapist
270978
OR
225X00000X
Occupational Therapist
6052064
WA
Other
Enumeration date
10/23/2015
Last updated
01/24/2020
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