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Individual

MECHELLE ANN SHIFFLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
25480 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-3801
(240) 256-3711
(240) 256-3612
Mailing address
25480 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-3801
(240) 256-3711
(240) 256-3612

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A03031
MD

Other

Enumeration date
01/20/2022
Last updated
01/20/2022
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