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NPI Code Detail

MEDICARE: KELLY JO SHEFFIELD OTR/L

MEDICARE: KELLY JO SHEFFIELD 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
1225X00000XOccupational Therapist006568OH

General Provider Information

NPI Number : 1275008617
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY JO SHEFFIELD OTR/L
Provider Business Mailing Address
First Line : 3430 FRENCHPARK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-7300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2425 KIMBERLY PKWY E
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-4271
Country : US
Telephone Number : 614-868-9306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2018
Last Update Date : 10/12/2018

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