Individual
TAMMY LYNN SHULENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
68 DEAN ST, TAUNTON, MA 02780-2713
(508) 824-1467
Mailing address
151 SNELL ST, FALL RIVER, MA 02721-2746
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2913
MA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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