Individual
SHELLEY COLEMAN REDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1000 GREYSTONE SQ, JACKSON, TN 38305-3580
(731) 512-0302
(731) 512-0319
Mailing address
1000 GREYSTONE SQ, JACKSON, TN 38305-3580
(731) 512-0302
(731) 512-0319
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2903
TN
Other
Enumeration date
08/31/2006
Last updated
01/27/2011
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