Individual
SHANNON MCCUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13017 W 74TH ST, SHAWNEE, KS 66216-4410
(913) 486-3452
Mailing address
13017 W 74TH ST, SHAWNEE, KS 66216-4410
(913) 486-3452
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2021045659
MO
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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