PHILLIP SCOTT SHACKELFORD

MARTINEZ, GA
NPI1548615800
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT006295)
Enumeration Date2016-04-25
Last Update Date2016-04-25
Business Address
-- PHILLIP SCOTT SHACKELFORD OTR/L
125 GARY GLEN DR
MARTINEZ, GA 30907-2615
Phone number: 706-394-4015
Mailing Address
-- PHILLIP SCOTT SHACKELFORD OTR/L
125 GARY GLEN DR
MARTINEZ, GA 30907-2615
Phone number: 706-394-4015
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