Individual
MRS. STACY LYNN SHOEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ORT/L
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
560 KINNAMON LN, CHILLICOTHE, OH 45601-3917
(740) 774-3372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.007465
OH
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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