Individual
SHANNON ALYSE FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7501 PROSPECT AVE, KANSAS CITY, MO 64132-2103
(816) 421-5848
(816) 237-2065
Mailing address
7501 PROSPECT AVE, KANSAS CITY, MO 64132-2103
(816) 421-5848
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
—
—
Other
Enumeration date
02/17/2019
Last updated
05/31/2023
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