Individual
SHANELLE FAYE RODEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1420 KENSINGTON RD, SUITE 201, OAK BROOK, IL 60523-2143
(630) 338-7770
Mailing address
1420 KENSIGNTON ROAD, SUITE 201, OAKBROOK, IL 60523
(630) 338-7770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05010619
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05010619
OCCUPATIONAL THERAPIST
IL
Enumeration date
11/20/2014
Last updated
11/20/2014
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