Individual
SHAUNA SCEPANIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11800 XEON BLVD NW, COON RAPIDS, MN 55448-2061
(612) 368-3917
(763) 312-2134
Mailing address
885 W TRINI DR, KUNA, ID 83634-1801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
104869
MN
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231243300
—
MN
Enumeration date
10/27/2017
Last updated
07/13/2020
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