Individual
SHANNON MACMASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 DENTON BLVD NW APT 1903, FORT WALTON BEACH, FL 32547-1681
(313) 595-6337
Mailing address
912 DENTON BLVD NW APT 1903, FORT WALTON BEACH, FL 32547-1681
(313) 595-6337
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15575
FL
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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