Shackelford, Phillip Scott
Shackelford, Phillip Scott is an sole proprietor health care provider with primary practice located at 125 Gary Glen Dr , Martinez GA 30907-2615. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Shackelford, Phillip Scott can be contacted via phone (706) 394-4015.Contact Information
Primary practice address
125 Gary Glen Dr
Martinez GA 30907-2615
Phone: (706) 394-4015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT006295 | Georgia |
Profile Details
| NPI number | 1548615800 |
|---|---|
| LBN Legal business name | Shackelford, Phillip Scott |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2016 |
| Last updated | Apr 25th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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