Individual
SHELLEY NOELLA ADAMS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1240 PINEBROOK RD, VENICE, FL 34285-6421
(941) 488-6733
Mailing address
118 CIRCUIT RD, NOKOMIS, FL 34275-3006
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12572
FL
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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