Individual
SHANNA FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S/OTR
Contact information
Practice address
93 CANARY DRIVE, LAKEWOOD, NJ 08701
(646) 660-2026
Mailing address
93 CANARY DRIVE, LAKEWOOD, NJ 08701
(646) 660-2026
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019477
NY
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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