National Provider Identifier
Shannon Haugeto
Shannon Haugeto is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Clarence Center, NY and a listed phone number of (716) 796-3828.
Profile Overview
- NPI
- 1023680949
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- July 12, 2021
- Last Updated
- July 12, 2021
Practice Location
- 6115 Railroad St
- Clarence Center, NY 14032-9765
Phone: (716) 796-3828
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1023680949
- Entity Type
- Individual
- Last Name
- Haugeto
- First Name
- Shannon
- Mailing Street Address
- 6115 Railroad St
- Mailing City
- Clarence Center
- Mailing State
- NY
- Mailing ZIP Code
- 14032-9765
- Mailing Country
- US
- Practice Street Address
- 6115 Railroad St
- Practice City
- Clarence Center
- Practice State
- NY
- Practice ZIP Code
- 14032-9765
- Practice Country
- US
- Practice Phone
- (716) 796-3828
- Enumeration Date
- July 12, 2021
- Last Updated
- July 12, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- July 12, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)