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Individual

DEIRDRE ANNE SHANER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20 CEDAR ST, SUITE 302, NEW ROCHELLE, NY 10801-5247
(914) 576-5292
(914) 576-3983
Mailing address
3 PARTRICK LN, WESTPORT, CT 06880-1832
(203) 454-9579

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002175
CT
225X00000X
Occupational Therapist
Primary
007967-1
NY

Other

Enumeration date
12/08/2008
Last updated
12/08/2008
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