Individual
MARGARETTE L SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, OTR
Contact information
Practice address
399 N GIBSON AVE, INDIANAPOLIS, IN 46219-5410
(281) 216-1244
Mailing address
399 N GIBSON AVE, INDIANAPOLIS, IN 46219-5410
(281) 216-1244
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005098A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
982362
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
06/29/2009
Last updated
12/03/2012
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