Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEAN R SHANNON
Active Sole ProprietorJEAN R SHANNON is a Occupational Therapist healthcare provider located in BRISTOL, Wisconsin. NPI 1508683103 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BRISTOL, WI
Registration Details
- NPI Number
- 1508683103
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 24, 2024 (1.8910854032271 yrs)
- Last Updated
- Sep 24, 2024
- License
-
1849-19 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19010 93RD STBRISTOL, WI, 531049611Browse WI providers · Browse ZIP 53104
- Phone
- 2628913359
- Primary Specialty
-
Occupational Therapist
225X00000X
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.