Individual
SHANI MECHELE ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5937 COVE RD, ROANOKE, VA 24019-2403
(540) 977-5870
Mailing address
5937 COVE RD, ROANOKE, VA 24019-2403
(540) 977-5870
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000720
VA
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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