# TIFFANY JOY SHEDLOCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245091289
- **Gender:** F
- **Credential:** MSS, OTR/L, CAPS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | 5201009305 | MI | Yes |

## Other

- **Enumeration date:** 01/17/2024
- **Last updated:** 01/17/2024