| Mrs Unknown Shonduel, OTR/L | |
|
1291 Craig Ave, Lakeport, CA 95453-5704 | |
| (707) 263-6382 | |
| Not Available |
| Full Name | Mrs Unknown Shonduel |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1291 Craig Ave, Lakeport, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487743753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 4973 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Unknown Shonduel, OTR/L 1301 E Bidwell St, #201, Folsom, CA 95630-3565 Ph: (916) 983-5915 | Mrs Unknown Shonduel, OTR/L 1291 Craig Ave, Lakeport, CA 95453-5704 Ph: (707) 263-6382 |
Mr. Nicholas Scott Wahlstrand, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1291 Craig Ave, Lakeport, CA 95453 Phone: 707-263-6382 | |
Elizabeth A Karl, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 485 Lake Vista Dr, Lakeport, CA 95453 Phone: 707-889-7240 |