Shaffer, Constance S

Shaffer, Constance S is an individual health care provider with primary practice located at 3915 Golden Valley Road Courage Center, Golden Valley MN 55422-4298. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Shaffer, Constance S can be contacted via phone (763) 520-0425.

Contact Information

Primary practice address
3915 Golden Valley Road Courage Center Golden Valley MN 55422-4298
Phone: (763) 520-0425
Fax: (763) 520-0861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 102152 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility 225XR0403X 102152 Minnesota

Profile Details

NPI number 1619918653
LBN Legal business name Shaffer, Constance S
Credentials OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Dec 9th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619918653 NPPES
Other 6411150 MEDICA
Other 76D35SH MEDICA
Other HP11422 MEDICA

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