SHANNON FAITH WICHMAN

HUNTINGTON, NY
NPI1467869818
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  018960)
Enumeration Date2014-07-17
Last Update Date2020-10-21
Business Address
SHANNON FAITH WICHMAN MS OTR/L
25 LITTLE PLAINS RD
HUNTINGTON, NY 11743-4550
Phone number: 631-266-4441
Mailing Address
SHANNON FAITH WICHMAN MS OTR/L
53 WILDWOOD DR
SOUND BEACH, NY 11789-2143
Phone number: