Organization
THE SWINGING BRIDGE, LLC
Active
Other names
Pam Shearer
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ANN SHEARER OTL (PRESIDENT)
(270) 737-4556
Entity
Organization
Contact information
Practice address
133 DORIS CT, ELIZABETHTOWN, KY 42701-9548
(270) 737-4556
Mailing address
133 DORIS CT, ELIZABETHTOWN, KY 42701-9548
(270) 737-4556
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R0740
KY
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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