| Doctor Name: | SHAWNA COSPER |
| NPI Number: | 1790938256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1215 Plumas St Ste 1000 Yuba City, CA - 959913456 |
| Business Phone Number: | 5306712324 |
| Business Fax Number: | |
| Mailing Address: | 1215 Plumas St Ste 1000, YUBA CITY |
| State: | CA |
| Postal Code: | 959913456 |
| Phone Number: | 5306712324 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2008 |
| NPI Last Update Date: | 10/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Orthotic Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |