Individual
SHANNON FAYE CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1409 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-7120
(702) 649-7711
Mailing address
1317 CHARMAST LN, LAS VEGAS, NV 89102-2405
(702) 682-5753
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2684
NV
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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