Jean R Shannon
Jean R Shannon is an Occupational Therapist in Bristol, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
19010 93rd StBristol, WI 53104-9611
Phone: (262) 891-3359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 1849-19 (WI) |
|---|
Record details
| NPI number | 1508683103 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 24, 2024 |
| Last updated in NPPES | September 24, 2024 |
| Certification date | September 24, 2024 |