Shanna Marie Ison
Occupational Therapist
699 S Park Rd
Charleston
, West Virginia 25304-2627
Shanna Marie Ison
Occupational Therapist
699 S Park Rd
Charleston
, West Virginia 25304-2627
(304) 926-8010
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Shanna Marie Ison
- 699 S Park Rd
- Charleston, WV
- Zip : 25304-2627
- Fax : (304) 926-8010
- Phone : (304) 925-1532
Second Address
- Shanna Marie Ison
- 699 S Park Rd
- Charleston, WV
- Zip : 25304-2627
- Fax : (304) 926-8018
- Phone : (304) 925-1532
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1156 | WV |
National Provider Identifier
| NPI | 1003938911 |
|---|---|
| Provider Name | Shanna Marie Ison |
| First Address | Charleston, WV 25304-2627 |
| Second Address | Charleston, WV 25304-2627 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2007 |
| Last Update Date | 08/12/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.