Individual
ANNA CHRISTINE SHIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69647 COUNTY ROAD 21, NEW PARIS, IN 46553-9205
(317) 496-9801
Mailing address
69647 COUNTY ROAD 21, NEW PARIS, IN 46553-9205
(317) 496-9801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004867A
IN
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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