Phillip Scott Shackelford, OTR/L

NPI #1548615800 in Martinez, Georgia

Provider Information

NPI Number: 1548615800
Entity Type: Individual
Name: Phillip Scott Shackelford, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Apr 25, 2016
Last Updated: Apr 25, 2016

Practice Location

Address: 125 GARY GLEN DR
City: Martinez
State: Georgia
ZIP Code: 30907-2615
Phone: (706) 394-4015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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