Individual
MRS. SHELLEY ANN MINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9 SHELLENBERGER RD, BARTON, NY 13734-2047
(607) 699-3408
Mailing address
9 SHELLENBERGER RD, BARTON, NY 13734-2047
(607) 699-3408
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
008155-1
NY
Other
Enumeration date
08/15/2008
Last updated
02/18/2020
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