Individual
SHANNON MAE BAITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
700 S HIGHWAY 6, GRETNA, NE 68028-7970
(402) 332-3446
Mailing address
528 S 188TH AVENUE CIR, ELKHORN, NE 68022-5642
(402) 850-6272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1006
NE
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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