Individual
MRS. ADRIENNE SHIMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 HOFFNAGLE ST, PHILADELPHIA, PA 19111-1945
(215) 342-1039
Mailing address
620 HOFFNAGLE ST, PHILADELPHIA, PA 19111-1945
(215) 342-1039
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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