MEDICARE: DANIEL SHELTON OT

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	OT16813	CA

General Provider Information

NPI Number	:	1942743273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL SHELTON OT

Provider Business Mailing Address
First Line	:	2628 G ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-3726
Country	:	US
Telephone Number	:	707-477-2113
Fax Number	:

Provider Business Practice Location Address
First Line	:	2628 G ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-3726
Country	:	US
Telephone Number	:	707-477-2113
Fax Number	:

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

Provider Enumeration Date	:	11/18/2016
Last Update Date	:	09/19/2022

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Directions to “ DANIEL SHELTON OT” Practice Location

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