Individual
AMBER SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S RIDGE RD W APT 114, GENEVA, OH 44041-9375
(440) 381-9432
Mailing address
125 S RIDGE RD W APT 114, GENEVA, OH 44041-9375
(440) 381-9432
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA005672
OH
Other
Enumeration date
04/09/2017
Last updated
04/09/2017
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