Individual
SHANNEN IRENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1756 STATE ROUTE 44 N, COUDERSPORT, PA 16915-7948
(716) 375-8920
Mailing address
1756 STATE ROUTE 44 N, COUDERSPORT, PA 16915-7948
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011239-01
NY
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us