Individual
MRS. SHANNON BROOKS HUGENTOBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
105 GINGER ST, WINCHESTER, VA 22602-6903
(304) 279-6615
Mailing address
105 GINGER ST, WINCHESTER, VA 22602-6903
(304) 279-6615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119004758
VA
Other
Enumeration date
08/04/2013
Last updated
08/04/2013
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