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Individual

SHANNON L SELAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
229 JEFFERSON AVE, WHEELING, WV 26003-6213
(304) 281-6322
Mailing address
229 JEFFERSON AVE, WHEELING, WV 26003-6213

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2254
WV

Other

Enumeration date
07/08/2019
Last updated
07/08/2019
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