Individual
MRS. SHANNON RAE SEBION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
106 NORDIC DR APT 1, WESTBY, WI 54667-1164
(262) 719-4965
Mailing address
106 NORDIC DR APT 1, WESTBY, WI 54667-1164
(262) 719-4965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5044-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285041
NBCOT
WI
01
—
5044-026
WISCONSIN LICENSE
WI
Enumeration date
07/07/2011
Last updated
10/04/2012
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