Individual
MRS. STEPHANIE KAY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
515 GREENE DR, GREENVILLE, KY 42345-1409
(270) 338-5400
Mailing address
515 GREENE DRIVE, GREENVILLE, KY 42345
(270) 338-5400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A4178
KY
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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