Individual
SHELBY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001A LOISDALE RD, SPRINGFIELD, VA 22150
(703) 971-0602
Mailing address
6200 N KINGS HWY APT 137, ALEXANDRIA, VA 22303-2903
(724) 456-8869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008394
VA
225X00000X
Occupational Therapist
OC015820
PA
Other
Enumeration date
09/04/2018
Last updated
11/04/2019
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