Individual
SHANNON BONEWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
310 WASHINGTON AVENUE EXT, SAUGERTIES, NY 12477-5222
(845) 247-6500
Mailing address
PO BOX 1147, PORT EWEN, NY 12466-1147
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
030937
NY
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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