Individual
SHANNON SUNDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W HOUGHTON AVE STE 4, WEST BRANCH, MI 48661-1220
(989) 345-7151
Mailing address
2151 NEIDHAMMER DR, BAY CITY, MI 48706-9497
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007186
MI
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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