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Individual

MS. SHAUN MARIE WESEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR-L

Contact information

Practice address
320 PACIFIC PL, MOUNT VERNON, WA 98273-5463
(360) 416-7570
(360) 416-7580
Mailing address
4614 CHUCKANUT DR, BOW, WA 98232-9264
(360) 766-6850

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00000623
WA

Other

Enumeration date
03/22/2007
Last updated
07/08/2007
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