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1972050094
SHANNON SCHAEFER
NEW LENOX, IL
NPI
1972050094
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Former Name
SHANNON MASTERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056011646)
Enumeration Date
2016-09-07
Last Update Date
2022-03-21
Business Address
SHANNON SCHAEFER OTR/L
2320 E LINCOLN HWY
NEW LENOX, IL 60451-9533
Phone number: 815-469-1500
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Mailing Address
SHANNON SCHAEFER OTR/L
2320 E LINCOLN HWY
NEW LENOX, IL 60451-9533
Phone number: 815-469-1500
Copy
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