SHANNON WHITACRE

ENGLEWOOD, OH
NPI1720238280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OH  03900)
Enumeration Date2008-09-22
Last Update Date2008-09-22
Business Address
-- SHANNON WHITACRE
425 LAURICELLA CT
ENGLEWOOD, OH 45322
Phone number: 937-836-5143
Mailing Address
-- SHANNON WHITACRE
11681 ST RT 718
LAURA, OH 45337
Phone number: