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Individual

MRS. SHELLEY MOORE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
211 ST ANDREWS CIR, LYNCHBURG, VA 24503-3731
(434) 426-6595

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004543
VA

Other

Enumeration date
07/15/2019
Last updated
07/15/2019
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