Individual
SHANNON REDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 WASHINGTON AVE, WHEELING, WV 26003-6261
(304) 280-8194
Mailing address
21 WASHINGTON AVE, WHEELING, WV 26003-6261
(304) 280-8194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1552
WV
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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