Individual
SHANNON MICHELLE JARBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17319 CURRY BRANCH RD, LOUISVILLE, KY 40245-7501
(502) 403-9181
Mailing address
17319 CURRY BRANCH RD, LOUISVILLE, KY 40245-7501
(502) 403-9181
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A3978
KY
Other
Enumeration date
01/01/2013
Last updated
01/01/2013
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