Shannon Kay Wireman, COTA/L
NPI #1801566260 in Saint John, Indiana
Provider Information
- NPI Number
- 1801566260
- Entity Type
- Individual
- Name
- Shannon Kay Wireman, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Sep 16, 2021
- Last Updated
- Sep 16, 2021
Practice Location
- Address
- 10820 PARK PL
- City
- Saint John
- State
- Indiana
- ZIP Code
- 46373-8630
- Phone
- (219) 351-5214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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