Individual
MS. SHANNON LEA GUICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
704 MIDDLE GROUND BLVD, SUITE D, NEWPORT NEWS, VA 23606-4526
(757) 595-4880
(757) 595-4886
Mailing address
704 MIDDLE GROUND BLVD, SUITE D, NEWPORT NEWS, VA 23606-4526
(757) 595-4880
(757) 595-4886
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001067
VA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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