Individual
SHANNON WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
115 ELMWOOD CIR, WEST CARROLLTON, OH 45449-2428
(937) 866-3814
Mailing address
2819 SHETTERLY LN, DAYTON, OH 45440-2228
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
02850
OH
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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