Individual provider · Type 1 NPI

Shannon White

Rehabilitation Practitioner · Fairfield, CA

NPI number 1972035731 Active

Practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Call (707) 639-4675 Map

Fax (707) 639-4700

Other practice locations

  • 2401 Waterman Blvd # A4-309, Fairfield, CA 94534-1800 · (888) 362-3970

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1972035731

Shannon White's National Provider Identifier is 1972035731, issued on Mar 31, 2017. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Fairfield, CA. The record was last updated on Jun 5, 2019.