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NPI Code Detail

MEDICARE: SHANNON GEGARE

MEDICARE: SHANNON GEGARE
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 Therapist

General Provider Information

NPI Number : 1467380832
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON GEGARE
Provider Business Mailing Address
First Line : 9629 W MORGAN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53228-1426
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3109 MOUNT PLEASANT ST
Second Line :
City : RACINE
State : WI
Zip : 53404-1511
Country : US
Telephone Number : 262-635-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ SHANNON GEGARE ” Practice Location

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