Individual
STUART PAUL SHAKLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1356 REDMOND ROAD, ROME, GA 30165
(706) 234-8281
Mailing address
680 HALLS VALLEY RD NW, ROME, GA 30165-6719
(706) 676-6802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001111
GA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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