Individual
JILL SHUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTRL
Contact information
Practice address
2092 AYRSLEY TOWN BLVD, CHARLOTTE, NC 28273-4037
(704) 577-4094
Mailing address
7224 GLEN BROOK LN, CHARLOTTE, NC 28269-1285
(954) 654-8054
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
10475
NC
225XP0200X
Pediatric Occupational Therapist
Primary
OT12620
FL
Other
Enumeration date
03/29/2007
Last updated
01/17/2020
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