Individual
MR. KEVIN SCOTT SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2050 LANGHORNE RD STE 103, LYNCHBURG, VA 24501-0002
(434) 845-7555
Mailing address
18 SEDGEBROOK CT APT 303, LYNCHBURG, VA 24502-7347
(434) 616-1779
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004986
VA
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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