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NPI Code Detail

MEDICARE: SHAUNA SCEPANIAK OTR/L

MEDICARE: SHAUNA SCEPANIAK OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist104869MN
2225X00000XOccupational Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316459522
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAUNA SCEPANIAK OTR/L
Provider Business Mailing Address
First Line : 885 W TRINI DR
Second Line :
City : KUNA
State : ID
Zip : 83634-1801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11800 XEON BLVD NW
Second Line :
City : COON RAPIDS
State : MN
Zip : 55448-2061
Country : US
Telephone Number : 612-368-3917
Fax Number : 763-312-2134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2017
Last Update Date : 07/13/2020

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Directions to “ SHAUNA SCEPANIAK OTR/L” Practice Location

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