Individual
MRS. SHANA LYN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-2803
(206) 386-6657
Mailing address
2806 NW 59TH ST, SEATTLE, WA 98107-2506
(206) 386-2803
(206) 386-6657
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00002458
WA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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