SHANNEN WILSON
Occupational Therapy Assistant
Active
Individual
NPI: 1578412052
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | 011239-01 (NY) |
Frequently Asked Questions
NPI 1578412052 is the National Provider Identifier for SHANNEN WILSON, a Occupational Therapy Assistant provider located in Coudersport, PA. This NPI was enumerated on January 27, 2026.
SHANNEN WILSON practices at 1756 STATE ROUTE 44 N, Coudersport, PA 16915.
Quick Facts
- NPI
- 1578412052
- Type
- Individual
- Enumerated
- Jan 27, 2026
- Last Updated
- Jan 27, 2026
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