Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannen Irene Wilson

Individual provider Occupational Therapy Assistant · NPI 1578412052

Shannen Irene Wilson is an Occupational Therapy Assistant in Coudersport, Pennsylvania. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

1756 State Route 44 N
Coudersport, PA 16915-7948
Phone: (716) 375-8920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 011239-01 (NY)

Record details

NPI number1578412052
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2026
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

Other providers in Coudersport