Individual
TAYLOR GABRIELLE SHOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
497 GLENDALE RD, LUCASVILLE, OH 45648-8675
(606) 923-2320
Mailing address
497 GLENDALE RD, LUCASVILLE, OH 45648-8675
(606) 923-2320
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011915
OH
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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