Individual
SHANNON RENEE JAROSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1924 W A ST, HASTINGS, NE 68901-5650
(402) 461-7578
(402) 461-7509
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 675-1853
(308) 210-4121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
973
NE
Other
Enumeration date
03/28/2019
Last updated
11/19/2019
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