Payne, Shannon

Payne, Shannon is an sole proprietor health care provider with primary practice located at 124 Fillmore Ave , Deer Park NY 11729-7004. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Payne, Shannon can be contacted via phone (631) 889-5362.

Contact Information

Primary practice address
124 Fillmore Ave Deer Park NY 11729-7004
Phone: (631) 889-5362
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1659612414
LBN Legal business name Payne, Shannon
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2013
Last updated Mar 4th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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