Individual
MRS. LORI SHEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4560 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462-7905
(757) 474-1249
Mailing address
4194 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
(804) 527-3406
(804) 527-0208
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000189
VA
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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