Individual
MRS. SHANNON LEE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3245 SOUTHERN OAKS DR, BLOOMINGTON, IN 47401-8000
(812) 334-1982
(812) 961-1989
Mailing address
3245 SOUTHERN OAKS DR, BLOOMINGTON, IN 47401-8000
(812) 334-1982
(812) 961-1989
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31004243A
IN
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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