Individual provider · Type 1 NPI

Jean R. Shannon

Occupational Therapist · Bristol, WI

NPI number 1508683103 Active

Practice location

19010 93rd St
Bristol, WI 53104-9611

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1849-19 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

About NPI 1508683103

Jean R. Shannon's National Provider Identifier is 1508683103, issued on Sep 24, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Bristol, WI. The record was last updated on Sep 24, 2024.