Individual
HOLLY LYNNE SHURTLEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
690 MEDICAL PARK DR, AIKEN, SC 29801-6348
(803) 293-4326
Mailing address
146 BEAUREGARD LN, AIKEN, SC 29803-7904
(803) 642-8971
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
471
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0896
—
SC
Enumeration date
10/20/2006
Last updated
08/25/2009
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