Individual
SHAWN ANN HANNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5700 MOCKINGBIRD LN, GREENDALE, WI 53129-1442
(414) 421-9600
Mailing address
1208 S 74TH ST, WEST ALLIS, WI 53214-3009
(920) 475-4138
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
496926
WI
Other
Enumeration date
01/16/2011
Last updated
01/16/2011
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