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Individual

SHELBY BASHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2200 EAST PARRISH AVE, BUILDING C SUITE 202, OWENSBORO, KY 42303
(270) 681-0274
Mailing address
2200 E PARRISH AVE STE 202, OWENSBORO, KY 42303-1449

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
272901
KY

Other

Enumeration date
06/22/2021
Last updated
08/25/2021
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