Individual
SHAWNA SANTUCCIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
31 NICHOLAS DR, ALBANY, NY 12205-2527
(518) 210-9622
Mailing address
1388 DUNNSVILLE RD, SCHENECTADY, NY 12306-5509
(518) 210-9622
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
63 020459
NY
225XP0200X
Pediatric Occupational Therapist
Primary
020459-1
NY
Other
Enumeration date
02/15/2016
Last updated
07/28/2022
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