Individual
COURTNEY RAE SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1699 HARRISON ST STE A, BATESVILLE, AR 72501-7312
(870) 262-1271
(870) 262-6013
Mailing address
1699 HARRISON ST STE A, BATESVILLE, AR 72501-7312
(870) 262-1271
(870) 262-6013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3333
AR
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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