Shelly Marie Davidovich
Occupational Therapist - Hand
1200 Northside Forsyth Dr
Cumming
, Georgia 30041-7659
Shelly Marie Davidovich
Occupational Therapist - Hand
1200 Northside Forsyth Dr
Cumming
, Georgia 30041-7659
(770) 844-3200
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Shelly Marie Davidovich
- 1200 Northside Forsyth Dr
- Cumming, GA
- Zip : 30041-7659
- Phone : (770) 844-3200
Second Address
- Shelly Marie Davidovich
- 1200 Northside Forsyth Dr
- Cumming, GA
- Zip : 30041-7659
- Phone : (770) 844-3200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | OT006418 | GA |
| N | 225XH1200X | Occupational Therapist - Hand | OT13549 |
National Provider Identifier
| NPI | 1225479058 |
|---|---|
| Provider Name | Shelly Marie Davidovich |
| First Address | Cumming, GA 30041-7659 |
| Second Address | Cumming, GA 30041-7659 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2013 |
| Last Update Date | 21/11/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.