Individual
MRS. SHELLY J MUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ERDMAN WAY, COMMUNITY HEALTHLINK, LEOMINSTER, MA 01453-1804
(978) 466-8333
(978) 840-9389
Mailing address
15 CLOUKEY AVE, ORANGE, MA 01364-1712
(978) 544-6036
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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