Individual
MRS. SHELLY RENE PAVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MHS, CHT
Contact information
Practice address
3950 HOLLYWOOD RD STE 218, SAINT JOSEPH, MI 49085-9151
(269) 556-7120
(269) 556-7121
Mailing address
3950 HOLLYWOOD RD STE 218, SAINT JOSEPH, MI 49085-9151
(269) 556-7120
(269) 556-7121
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004510
MI
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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