Individual
DOREEN SHEWMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
419 E MAIN ST, HENDERSONVILLE, TN 37075-2756
(123) 456-7890
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4243
TN
Other
Enumeration date
02/21/2007
Last updated
06/11/2014
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