MRS. Shelly Rae Herboth

NPI #1386941292 in Altamont, Illinois

Provider Information

NPI Number
1386941292
Entity Type
Individual
Name
MRS. Shelly Rae Herboth
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Feb 13, 2011
Last Updated
Feb 13, 2011

Practice Location

Address
2868 E 825TH AVE
ZIP Code
62411-3554
Phone
(618) 483-5493

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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