Individual
SHANNON MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 842-9887
(304) 842-9888
Mailing address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 842-9887
(304) 842-9888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1182
WV
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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