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Individual

SHANNON NOVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
800 EASTMONT AVE, EAST WENATCHEE, WA 98802-4458
(509) 884-7169
Mailing address
800 EASTMONT AVE, EAST WENATCHEE, WA 98802-4458
(509) 884-7169

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821458035
WA
Enumeration date
03/01/2016
Last updated
05/29/2025
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