Individual
MS. BRENDA MAE SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
340 POLARIS PKWY, WESTERVILLE, OH 43082-7971
(614) 839-2300
(614) 839-2301
Mailing address
340 POLARIS PKWY, WESTERVILLE, OH 43082-7971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008540
OH
2251X0800X
Orthopedic Physical Therapist
PT08540
OH
Other
Enumeration date
01/18/2006
Last updated
03/24/2026
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