Individual
MISS SHENIAH CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4006 ESTATE DIAMOND STE 103, ST CROIX, VI 00820-5352
(340) 778-6530
Mailing address
601 S MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27110-0001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2020
Last updated
03/26/2024
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