Shannon Sundholm
NPI #1669861191 in West Branch, Michigan
Provider Information
- NPI Number
- 1669861191
- Entity Type
- Individual
- Name
- Shannon Sundholm
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jan 21, 2015
- Last Updated
- Jan 21, 2015
Practice Location
- Address
- 214 W HOUGHTON AVE STE 4
- City
- West Branch
- State
- Michigan
- ZIP Code
- 48661-1220
- Phone
- (989) 345-7151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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