MEDICARE: SHELLEY ARMSTRONG

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
1	225X00000X	Occupational Therapist	OT.004402	OH

General Provider Information

NPI Number	:	1770900482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELLEY ARMSTRONG

Provider Business Mailing Address
First Line	:	851 LINCOLN DR
Second Line	:	APT. B
City	:	STRASBURG
State	:	OH
Zip	:	44680-9799
Country	:	US
Telephone Number	:	989-395-1689
Fax Number	:

Provider Business Practice Location Address
First Line	:	3057 CLEVELAND AVE SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707-3625
Country	:	US
Telephone Number	:	330-484-2547
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2014
Last Update Date	:	03/20/2014

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