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Individual

SHELBY TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
101 W REELFOOT AVE, UNION CITY, TN 38261-5601
(731) 885-1077
(731) 885-4728
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7512
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q029723
TN
Enumeration date
04/11/2023
Last updated
04/11/2023
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