Individual
SHAUNDA PACHELLE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 TEAKWOOD DR SW, HUNTSVILLE, AL 35801-3454
(256) 881-5000
Mailing address
112 RAYMOND ST SW, DECATUR, AL 35601-4845
(256) 348-5519
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2603
AL
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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