SHANE JEREMY BILLINGSLEY

WESTPORT, IN
NPI1184939837
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2010-08-18
Last Update Date2010-08-18
Business Address
Mr. SHANE JEREMY BILLINGSLEY DT
604 N CARROLL ST
WESTPORT, IN 47283-9787
Phone number: 812-593-5453
Mailing Address
Mr. SHANE JEREMY BILLINGSLEY DT
604 N CARROLL ST
WESTPORT, IN 47283-9787
Phone number: 812-593-5453