Individual
MR. RANDALL SHINABERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS OTRL
Contact information
Practice address
2479 ROSEWOOD N, STE A, MT PLEASANT, MI 48858-5004
(989) 289-3755
Mailing address
2479 ROSEWOOD N, STE A, MT PLEASANT, MI 48858-5004
(989) 289-3755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009019
MI
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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