Individual
SHANNON COSTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6011
Mailing address
11910 16TH AVE SW, CEDAR RAPIDS, IA 52404-9169
(319) 310-9078
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116292
IA
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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