Individual
SHELLY WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2906 N PATTERSON ST, VALDOSTA, GA 31602-1441
(229) 253-1009
(229) 253-1039
Mailing address
3016 COUNTRY CLUB DR, VALDOSTA, GA 31602-1380
(229) 444-2798
(229) 253-1039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006071
GA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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