Individual
ALEXANDRA SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2563 PERSHING DR, TOLEDO, OH 43613-3815
(419) 297-1525
Mailing address
2563 PERSHING DR, TOLEDO, OH 43613-3815
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005758
OH
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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