Individual
SHANNON RASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
46 NICHOLS ST, RUTLAND, VT 05701-3275
(802) 775-2941
Mailing address
46 NICHOLS ST, RUTLAND, VT 05701-3275
(321) 987-6445
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
006301
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
072.0134377PROV
VT
225XP0019X
Physical Rehabilitation Occupational Therapist
OT12921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141338471
CVPH TAX ID#
NY
Enumeration date
04/19/2007
Last updated
08/23/2023
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