Individual
MS. SHANNON G MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
PO BOX 1234, INWOOD, WV 25428-1234
(304) 261-8173
Mailing address
PO BOX 1234, INWOOD, WV 25428-1234
(304) 261-8173
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1317
WV
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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