Shannon Renee Blankenship

NPI #1750988192 in Chesterfield, Virginia

Provider Information

NPI Number: 1750988192
Entity Type: Individual
Name: Shannon Renee Blankenship
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Oct 8, 2020
Last Updated: Oct 8, 2020

Practice Location

Address: 14341 GENERATION LN
City: Chesterfield
State: Virginia
ZIP Code: 23838-4200
Phone: (804) 243-4603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant - Environmental Modification — Environmental Modification	224ZE0001X
Occupational Therapist - Environmental Modification — Environmental Modification	225XE0001X
Contractor	171W00000X	Primary

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