Individual
MARISSA SHELNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
20310 19TH AVE NE, SHORELINE, WA 98155-1261
(206) 367-5853
Mailing address
631 NW 89TH ST, SEATTLE, WA 98117-2130
(206) 789-1436
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00003339
WA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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