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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHANNON RAYE RODERIQUE, LPTA

Active Sole Proprietor

MRS. SHANNON RAYE RODERIQUE, LPTA is a Occupational Therapist healthcare provider located in O FALLON, Missouri. NPI 1992405302 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · O FALLON, MO

Registration Details

NPI Number
1992405302
Provider Type
Individual
Gender
Female
NPI Issued
Mar 6, 2023 (3.4403299406848 yrs)
Last Updated
Mar 6, 2023
Sole Proprietor
Yes

Practice Information

Address
7068 S OUTER 364
O FALLON, MO, 633687757
Browse MO providers · Browse ZIP 63368
Phone
6362406100
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in O FALLON, MO

Name Credential NPI
ALEXANDER NOON PTA 1861686677
EMILY MICHELE DRUMMER PTA 1154667020
MISS GRACE AGNUS LEHOUILLIER PTA 1235602251
BERNADETTE KOEHLER 1124654629
SARAH PATRIARCA 1912641903
CHERYL ANN OCONNELL 1598464844
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.