Individual
SHAWNTEL FAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
Mailing address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007613A
IN
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
08/31/2021
Last updated
06/14/2024
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