Individual
SHANNON SIEMSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3011 N 26TH ST, PHOENIX, AZ 85016-7921
(708) 250-8179
Mailing address
3011 N 26TH ST, PHOENIX, AZ 85016-7921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008188
AZ
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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