Basic Information
| Provider Information | |||||||||
| NPI: | 1518103142 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROSINSKI | ||||||||
| FirstName: | SHANNON | ||||||||
| MiddleName: | BREE | ||||||||
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| Credential: | MS, OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 534 CATAWISSA AVE | ||||||||
| Address2: | |||||||||
| City: | SUNBURY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178011532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702860622 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2 REHAB LN | ||||||||
| Address2: | |||||||||
| City: | DANVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178218498 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702715555 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2009 | ||||||||
| LastUpdateDate: | 01/03/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OC008677 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.