Individual
SHELBY BROOKE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7035 SAINT ANDREWS RD, COLUMBIA, SC 29212-1177
(803) 749-0924
Mailing address
20211 SUGARLOAF RESERVE DR, DULUTH, GA 30097-5216
(770) 314-1113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5404
SC
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/01/2018
Last updated
11/06/2020
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