Individual
MR. MICHAEL SCOTT SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
5901 BROKEN SOUND PKWY STE 500, BOCA RATON, FL 33487-2791
(561) 367-1175
Mailing address
1970 CEDAR GRAVEYARD RD, LEWISBURG, KY 42256-8529
(270) 535-4544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A3203
KY
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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