Individual
SHANNON NELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
17877 W 14 MILE RD STE 201, BEVERLY HILLS, MI 48025-3127
(248) 644-3920
(248) 352-2915
Mailing address
17877 W 14 MILE RD, BEVERLY HILLS, MI 48025-3127
(248) 644-3920
(248) 644-2569
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003322
MI
Other
Enumeration date
05/17/2007
Last updated
03/20/2019
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