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Individual

MS. SHANESE LYNETTE SHANKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
5790 DENLINGER RD, DAYTON, OH 45426-1838
(937) 837-5581
Mailing address
2219 MAYFAIR RD, DAYTON, OH 45405-3220
(937) 275-0422

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-6233
OH

Other

Enumeration date
11/26/2007
Last updated
11/26/2007
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