Individual
SHANNON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2865 CHANCELLOR DR, CRESTVIEW HILLS, KY 41017-3912
(859) 426-5666
Mailing address
444 LARKSPUR CT, EDGEWOOD, KY 41017-3373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
172319
KY
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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