Individual
MISS SHELBY PAIGE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, MSOT
Contact information
Practice address
254 MAIN ST, CADIZ, KY 42211-9153
(270) 350-1298
Mailing address
138 GLENDALE DR, CADIZ, KY 42211-9121
(270) 350-1298
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
172835
KY
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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