Clearwater, Shannon Marie

Clearwater, Shannon Marie is an individual health care provider with primary practice located at 755 N Broadway , Sleepy Hollow NY 10591-1075. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Clearwater, Shannon Marie can be contacted via phone (914) 366-3717.

Contact Information

Primary practice address
755 N Broadway Sleepy Hollow NY 10591-1075
Phone: (914) 366-3717
Fax: (314) 366-1312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 014797 New York

Profile Details

NPI number 1720211709
LBN Legal business name Clearwater, Shannon Marie
Credentials OTD, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2009
Last updated Oct 19th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720211709 NPPES
New York MEDICAID 03139755

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