Individual
SHANNON LEIGH CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 W GIACONDA WAY STE 103, TUCSON, AZ 85704-4341
(520) 329-8830
Mailing address
8951 W CLOUDWOOD DR, MARANA, AZ 85653-8891
(850) 499-5098
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA-000026
AZ
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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