National Provider Identifier
Shannon Wiseman
Shannon Wiseman is listed in the NPPES registry with a primary specialty of Occupational Therapist in Williamsville, NY and a listed phone number of (716) 632-3700.
Profile Overview
- NPI
- 1386275113
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- January 30, 2020
- Last Updated
- January 30, 2020
Practice Location
- 2699 Wehrle Dr
- Williamsville, NY 14221-7332
Phone: (716) 632-3700
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1386275113
- Entity Type
- Individual
- Last Name
- Wiseman
- First Name
- Shannon
- Mailing Street Address
- 2699 Wehrle Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7332
- Mailing Country
- US
- Mailing Phone
- (716) 632-3700
- Practice Street Address
- 2699 Wehrle Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7332
- Practice Country
- US
- Practice Phone
- (716) 632-3700
- Enumeration Date
- January 30, 2020
- Last Updated
- January 30, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- January 30, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)