SHANNON KINGSTON DEMAGGIO

TRAVERSE CITY, MI
NPI1326781550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202007596)
Enumeration Date2022-04-15
Last Update Date2022-04-15
Business Address
SHANNON KINGSTON DEMAGGIO COTA/L
1650 BARLOW ST
TRAVERSE CITY, MI 49686-4721
Phone number: 248-497-7896
Mailing Address
SHANNON KINGSTON DEMAGGIO COTA/L
3763 N SPIDER LAKE RD
TRAVERSE CITY, MI 49696-8442
Phone number:
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