Individual
SHELBY LLOLYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3404 COMMUNITY CENTER DR, WESTON, WI 54476-4193
(715) 298-5944
Mailing address
7406 RYANAMY DR, WESTON, WI 54476-4459
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5719
WI
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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