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1770084550
SHANNON TEADT
BATTLE CREEK, MI
NPI
1770084550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202007819)
Enumeration Date
2018-02-26
Last Update Date
2018-02-26
Business Address
SHANNON TEADT COTA/L
1150 MICHIGAN AVE E
BATTLE CREEK, MI 49014-6113
Phone number: 269-962-5458
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Mailing Address
SHANNON TEADT COTA/L
269 N MATTESON LAKE RD
BRONSON, MI 49028-9313
Phone number:
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