Individual
SHANNON M ABENDROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20104 NOKOMIS RD, NOKOMIS, IL 62075-4222
(217) 827-7294
Mailing address
20104 NOKOMIS RD, NOKOMIS, IL 62075-4222
(217) 827-7294
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/19/2025
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