Individual
SYDNEY SHAY FOURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 MEDPARK DR, SOMERSET, KY 42503-2734
(606) 679-1761
Mailing address
PO BOX 236, BURNSIDE, KY 42519-0236
(606) 271-0105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
280722
KY
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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