MR. Shane Jeremy Billingsley, DT

NPI #1184939837 in Westport, Indiana

Provider Information

NPI Number
1184939837
Entity Type
Individual
Name
MR. Shane Jeremy Billingsley, DT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Credential
DT
Enumeration Date
Aug 18, 2010
Last Updated
Aug 18, 2010

Practice Location

Address
604 N CARROLL ST
State
Indiana
ZIP Code
47283-9787
Phone
(812) 593-5453

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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