Individual
SHANNA EMANUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 899-5200
(425) 899-5204
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(206) 860-5414
(206) 720-8462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61181063
WA
Other
Enumeration date
07/26/2022
Last updated
08/04/2025
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