Individual
LINDA CHRISTINE SHIVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
113 CASSELL DR, KINGSPORT, TN 37660-3775
(423) 246-7240
Mailing address
217 BROOKFIELD DR, KINGSPORT, TN 37663-3550
(423) 348-6570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
01190006467
VA
225X00000X
Occupational Therapist
Primary
4496
TN
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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