Individual
SHELLEY MARIE HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13103 MINK RUN, HUDSON, FL 34669-2842
(727) 237-1707
Mailing address
13103 MINK RUN, HUDSON, FL 34669-2842
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PTA13831
FL
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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