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NPI Code Detail

MEDICARE: SHELLEY PATON M.S. OTR/L

MEDICARE:   SHELLEY  PATON  M.S. OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist2052CA

General Provider Information

NPI Number : 1598511982
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLEY PATON M.S. OTR/L
Provider Business Mailing Address
First Line : 191 S OAK PARK BLVD STE 9
Second Line :
City : GROVER BEACH
State : CA
Zip : 93433-2265
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 191 S OAK PARK BLVD STE 9
Second Line :
City : GROVER BEACH
State : CA
Zip : 93433-2265
Country : US
Telephone Number : 805-474-6811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2024
Last Update Date : 04/25/2024

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Directions to “ SHELLEY PATON M.S. OTR/L” Practice Location

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