Individual
SHANNON SHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 PARK ST E, ANNANDALE, MN 55302-3060
(320) 274-3737
(320) 274-3631
Mailing address
2417 MEADOW DR, BUFFALO, MN 55313-2424
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200463
MN
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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