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1467869818
SHANNON FAITH WICHMAN
HUNTINGTON, NY
NPI
1467869818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 018960)
Enumeration Date
2014-07-17
Last Update Date
2020-10-21
Business Address
SHANNON FAITH WICHMAN MS OTR/L
25 LITTLE PLAINS RD
HUNTINGTON, NY 11743-4550
Phone number: 631-266-4441
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Mailing Address
SHANNON FAITH WICHMAN MS OTR/L
53 WILDWOOD DR
SOUND BEACH, NY 11789-2143
Phone number:
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