Individual
SHELBY DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD,OTR/L
Contact information
Practice address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8226
Mailing address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006620A
IN
Other
Enumeration date
06/04/2018
Last updated
11/09/2020
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