Shawn Denise Richardson
Occupational Therapist - Gerontology
111 Elm St
Birmingham
, Michigan 48009-6332
Shawn Denise Richardson
Occupational Therapist - Gerontology
111 Elm St
Birmingham
, Michigan 48009-6332
(248) 635-5914
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Shawn Denise Richardson
- 28521 Princeton Ct
- Madison Heights, MI
- Zip : 48071-3077
- Phone : (248) 635-5914
Second Address
- Shawn Denise Richardson
- 111 Elm St
- Birmingham, MI
- Zip : 48009-6332
- Fax : (248) 341-9012
- Phone : (248) 341-7797
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 5201006544 | MI |
National Provider Identifier
| NPI | 1780188953 |
|---|---|
| Provider Name | Shawn Denise Richardson |
| First Address | Madison Heights, MI 48071-3077 |
| Second Address | Birmingham, MI 48009-6332 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2018 |
| Last Update Date | 21/03/2018 |
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.