Individual
MRS. STEPHANIE SHOURDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3117 ALVEY PARK DRIVE, OWENSBORO, KY 42303
(270) 683-9992
(270) 683-9993
Mailing address
3117 ALVEY PARK DRIVE, OWENSBORO, KY 42303
(270) 683-9992
(270) 683-9993
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A3739
KY
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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