Individual
SHANNON HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2801 E ROYALTON RD, BROADVIEW HTS, OH 44147-2827
(440) 526-4770
Mailing address
11912 DERBY AVE, GARFIELD HTS, OH 44125-4334
(330) 391-0362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007190
OH
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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