Individual
SHANNON STEAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4 WHIPPOORWILL LN, CLINTON, CT 06413-1407
(203) 215-6408
Mailing address
4 WHIPPOORWILL LN, CLINTON, CT 06413-1407
(203) 215-6408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002058
CT
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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