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Individual

KATHERINE JANE SHOFFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2359 HIGHWAY 105, CDSA OF BR, BOONE, NC 28607-7814
(828) 265-5391
(828) 265-5394
Mailing address
432 FAWN DR, BOONE, NC 28607-8462
(828) 264-4297

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
375
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1384P
BLUE CROSS BLUE SHIELD
NC
Enumeration date
03/19/2007
Last updated
07/08/2008
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