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NPI Code Detail

MEDICARE: MISS SHAWNA DEBRA DUNN BS, COTA/L

MEDICARE: MISS SHAWNA DEBRA DUNN BS, COTA/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
1224Z00000XOccupational Therapy Assistant9066167-4202UT

General Provider Information

NPI Number : 1386140895
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHAWNA DEBRA DUNN BS, COTA/L
Provider Business Mailing Address
First Line : 884 W RATTLER RD
Second Line :
City : SARATOGA SPRINGS
State : UT
Zip : 84045-3994
Country : US
Telephone Number : 801-885-8813
Fax Number :
Provider Business Practice Location Address
First Line : 24 W SERGEANT COURT DR STE 204
Second Line :
City : SARATOGA SPRINGS
State : UT
Zip : 84045-5809
Country : US
Telephone Number : 801-987-6333
Fax Number : 801-341-8724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2018
Last Update Date : 10/23/2025

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