Shannon, Bethany Dawn

Shannon, Bethany Dawn is an individual health care provider with primary practice located at 4343 Oak Grove Blvd. , San Angelo TX 76904. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Shannon, Bethany Dawn can be contacted via phone (325) 942-4000.

Contact Information

Primary practice address
4343 Oak Grove Blvd. San Angelo TX 76904
Phone: (325) 942-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 209824 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 3267 New Mexico

Profile Details

NPI number 1932585809
LBN Legal business name Shannon, Bethany Dawn
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2015
Last updated Aug 3rd, 2015 - about 11 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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