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1780269316
SHANNON VICTORIA JOHANSEN
ROCHESTER, NY
NPI
1780269316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 025162)
Enumeration Date
2021-03-15
Last Update Date
2021-03-15
Business Address
SHANNON VICTORIA JOHANSEN
1425 PORTLAND AVE BLDG 3
ROCHESTER, NY 14621-3095
Phone number: 585-922-4000
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Mailing Address
SHANNON VICTORIA JOHANSEN
1425 PORTLAND AVE BLDG 3
ROCHESTER, NY 14621-3095
Phone number: 585-922-4000
Copy
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