National Provider Identifier
Shannon Victoria Johansen
Shannon Victoria Johansen is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1780269316
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- March 15, 2021
- Last Updated
- March 15, 2021
Practice Location
- 1425 Portland Ave Bldg 3
- Rochester, NY 14621-3095
Phone: (585) 922-4000
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1780269316
- Entity Type
- Individual
- Last Name
- Johansen
- First Name
- Shannon
- Middle Name
- Victoria
- Mailing Street Address
- 1425 Portland Ave Bldg 3
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3095
- Mailing Country
- US
- Mailing Phone
- (585) 922-4000
- Practice Street Address
- 1425 Portland Ave Bldg 3
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3095
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- March 15, 2021
- Last Updated
- March 15, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)