Individual
BRIAN SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3118 ROSS CLARK CIR, DOTHAN, AL 36303-3049
(334) 673-2422
Mailing address
3118 ROSS CLARK CIR, DOTHAN, AL 36303-3049
(334) 673-2422
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
PTH953
AL
Other
Enumeration date
05/20/2014
Last updated
05/01/2017
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