Individual
DR. SHANA DENISE SPEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
16250 NE 74TH ST, REDMOND, WA 98052-7817
(425) 936-1200
Mailing address
1420 NW GILMAN BLVD # 2171, ISSAQUAH, WA 98027-5394
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00004133
WA
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074931
NBCOT
—
01
—
OT00004133
WA DOH
WA
Enumeration date
03/15/2008
Last updated
01/05/2022
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