MS. Lavern Shelton, O.T.

NPI #1891910014 in Decatur, Georgia

Provider Information

NPI Number: 1891910014
Entity Type: Individual
Name: MS. Lavern Shelton, O.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: O.T.
Enumeration Date: Apr 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2301 WINGFOOT PL
City: Decatur
State: Georgia
ZIP Code: 30035-2812
Phone: (404) 298-6404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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