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Individual

MR. SHAWN BRADLEY HALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
15348 HIGHWAY 1690, LOUISA, KY 41230-8363
(606) 624-6450
Mailing address
PO BOX 1965, INEZ, KY 41224-1965
(606) 624-6450

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1866
KY

Other

Enumeration date
11/16/2015
Last updated
11/16/2015
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