Individual
RHONDA SHOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
102 HAMPTON HALL DR, BEREA, KY 40403-8009
(859) 582-8867
Mailing address
103B CONFEDERATE DR, RICHMOND, KY 40475-8842
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/27/2010
Last updated
03/24/2020
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