Individual
MARITZA SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
701 W FRONT ST STE 100, TRAVERSE CITY, MI 49684
(231) 935-0800
(231) 935-0808
Mailing address
701 W FRONT ST STE 100, TRAVERSE CITY, MI 49684-2287
(231) 935-0800
(231) 935-0808
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0119004707
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119004707
VIRGINIA LICENSE
VA
01
—
5535
NORTH CAROLINA LICENSE
NC
01
—
C05501
MEDICARE GROUP
VA
Enumeration date
03/07/2007
Last updated
10/09/2018
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