Individual
SHANE B O'SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
10550 PARK RUN DR, LAS VEGAS, NV 89144-4575
(702) 515-6200
Mailing address
7955 BADURA AVE APT 268, LAS VEGAS, NV 89113-2145
(989) 326-0246
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
008119
AZ
225X00000X
Occupational Therapist
Primary
2755
NV
Other
Enumeration date
07/29/2020
Last updated
04/01/2022
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