Individual
GINA SHIELDS NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1500 JAMES SIMPSON JR DRIVE, COVINGTON, KY 41011
(859) 655-4268
Mailing address
2138 N FORT THOMAS AVE, FORT THOMAS, KY 41075-1022
(859) 630-7291
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
002102
KY
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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