Demaggio, Shannon Kingston
Demaggio, Shannon Kingston is an individual health care provider with primary practice located at 1650 Barlow St , Traverse City MI 49686-4721. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Demaggio, Shannon Kingston can be contacted via phone (248) 497-7896.Contact Information
Primary practice address
1650 Barlow St
Traverse City MI 49686-4721
Phone: (248) 497-7896
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 5202007596 | Michigan |
Profile Details
| NPI number | 1326781550 |
|---|---|
| LBN Legal business name | Demaggio, Shannon Kingston |
| Credentials | COTA/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2022 |
| Last updated | Apr 15th, 2022 - about 3 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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