Individual
SHELBY CHRISTINE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
536 GRAND SLAM DR STE D, EVANS, GA 30809-8045
(706) 854-8434
Mailing address
1100 HAMPSTEAD PL, MARTINEZ, GA 30907-6202
(706) 339-2132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008551
GA
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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