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Individual

SHELLIE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1273 REMOUNT RD, NORTH CHARLESTON, SC 29406-3439
(843) 200-1878
Mailing address
202 WESTMINSTER AVE, SUMMERVILLE, SC 29485-8008
(843) 819-5456

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
636
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
636
BOARD OF OCCUPATIONAL THERAPY EXAMINERS
SC
01
979587
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
SC
Enumeration date
06/10/2008
Last updated
10/16/2025
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