Individual
MS. SUSAN KAY SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17510 HILL WAY, LAKE OSWEGO, OR 97035-5414
(503) 686-9592
Mailing address
17510 HILL WAY, LAKE OSWEGO, OR 97035-5414
(503) 686-9592
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001014
IL
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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