Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON LOGAN SOBIERAJ, OTR/L
Active Sole ProprietorSHANNON LOGAN SOBIERAJ, OTR/L is a Pediatric Occupational Therapist healthcare provider located in SAN ANSELMO, California. NPI 1073955522 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · SAN ANSELMO, CA
Registration Details
- NPI Number
- 1073955522
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2013 (13.070518350459 yrs)
- Last Updated
- Jul 25, 2013
- License
-
13631 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
412 RED HILL AVE STE 1SAN ANSELMO, CA, 949602468Browse CA providers · Browse ZIP 94960
- Phone
- 4154574409
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in SAN ANSELMO, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. DENISE ABANSADO MODOLO | MOT/OTR/L | 1922246479 |
| GINA LIN GALLIANI | — | 1225485626 |
| JODI MCCLAIN | OTR/L | 1629516356 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.