Individual
DR. MARY P SHOTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3463 CROWN DR, GAINESVILLE, GA 30506-1407
(678) 943-1744
Mailing address
3463 CROWN DR, GAINESVILLE, GA 30506-1407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000525
GA
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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