Individual
WILLIAM G SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
835 E POPLAR AVE, SELMER, TN 38375-1832
(731) 645-3201
Mailing address
690 FALCON NEW BETHEL RD, SELMER, TN 38375-5454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT2197
MS
225X00000X
Occupational Therapist
Primary
OT4191
TN
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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