NPI 1063197465

Shannon Washington

Practitioner Prosthetic/Orthotic Supplier Oak Park, MI

Practice location

Address: 23059 Coolidge Hwy, Oak Park, MI 48237-2071
Phone: (586) 453-9134

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1063197465
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2023
Record last updated: 21 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.