Individual
MRS. SHELLEY FLEMMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
1949 HIGHWAY 81, SUITE 100, LOGANVILLE, GA 30052
(770) 207-6390
Mailing address
2900 YOUTH MONROE ROAD, LOGANVILLE, GA 30052
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT006219
GA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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