Individual
SHANA MICHELLE ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3626 GRANT LINE RD, NEW ALBANY, IN 47150-2298
(502) 561-4295
Mailing address
9871 BANET RD, FLOYDS KNOBS, IN 47119-8720
(502) 322-6560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-1005
NV
225X00000X
Occupational Therapist
244816
KY
225X00000X
Occupational Therapist
Primary
31007068A
IN
225X00000X
Occupational Therapist
392972
OR
Other
Enumeration date
12/19/2017
Last updated
02/16/2022
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