Individual
MRS. DEBRA LYNN SHUTTLEWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 HIGH POINT DR, KANE, PA 16735-9704
(814) 837-6706
Mailing address
192 EARL ROAD, ST. MARYS, PA 15857
(814) 834-7921
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003628L
PA
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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