Individual
MRS. SHELLEI ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT R/L
Contact information
Practice address
23 BIG A RD, TOCCOA, GA 30577
(770) 207-6390
Mailing address
3631 TOMS CREEK RD, MARTIN, GA 30557-3103
(706) 988-8398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005144
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277445
NBCOT CERTIFICATION
—
01
—
OT005144
OT GA LICENSE
GA
Enumeration date
05/06/2016
Last updated
05/06/2016
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