Individual
SHANNA L ROESLER MCELWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8320 CITY CENTRE DR, SUITE G, WOODBURY, MN 55125-3382
(651) 738-9888
(651) 738-9889
Mailing address
8320 CITY CENTRE DR, SUITE G, WOODBURY, MN 55125-3382
(651) 738-9888
(651) 738-9889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102590
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2444033
AMERICA'S PPO
MN
05
—
4103660
—
WI
01
—
6406619
MEDICA / SELECT CARE
MN
01
—
658S2RO
BCBS
MN
01
—
HP65486
HEALTH PARTNERS
MN
Enumeration date
09/21/2006
Last updated
07/08/2007
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