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Individual

SHANNON ELIZABETH FUNK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
575 N MADISON ST, MARSHALL, MI 49068-1148
(269) 781-4281
Mailing address
5370 E C AVE, RICHLAND, MI 49083-9514
(630) 750-4051

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010569
MI

Other

Enumeration date
05/24/2019
Last updated
05/24/2019
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