Individual
SHANNON NICOLE CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
213 WATER ST, DAWSON SPRINGS, KY 42408-1727
(270) 797-2025
Mailing address
1845 DANIEL BOONE RD, NORTONVILLE, KY 42442-9743
(270) 339-2889
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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