Shannon Cnudde
Occupational Therapy Assistant
2535 22nd St
Bay City
, Michigan 48708-7612
Shannon Cnudde
Occupational Therapy Assistant
2535 22nd St
Bay City
, Michigan 48708-7612
(989) 891-9800
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Shannon Cnudde
- 2535 22nd St
- Bay City, MI
- Zip : 48708-7612
- Phone : (989) 891-9800
Second Address
- Shannon Cnudde
- 2535 22nd St
- Bay City, MI
- Zip : 48708-7612
- Phone : (989) 891-9800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5202008194 | MI |
National Provider Identifier
| NPI | 1013451905 |
|---|---|
| Provider Name | Shannon Cnudde |
| First Address | Bay City, MI 48708-7612 |
| Second Address | Bay City, MI 48708-7612 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2016 |
| Last Update Date | 12/12/2016 |
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.