Individual
CRISTA MISHELL SHEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6101 CLARKE CREEK PKWY, CHARLOTTE, NC 28269-6936
(704) 807-4514
Mailing address
1560 SAW RD, CHINA GROVE, NC 28023-8554
(980) 432-9357
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14810
NC
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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