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MRS. SHELLEI ADAMS OT R/L

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1518313733

Individual Registrant:
MRS. SHELLEI  ADAMS OT R/L
Gender: F
Sole Proprietor

Location and contact information for practice:
23 BIG A RD  TOCCOA, GA 30577 US
Tel: 770-207-6390  Fax: --

Contact information for business:
3631 TOMS CREEK RD  MARTIN, GA 30557-3103 US
Tel: 706-988-8398  Fax: --

Registration Information:
NPI: 1518313733
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
GAOT005144

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NBCOT CERTIFICATION27744501
OT GA LICENSEOT005144GA01




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