Individual
SHEA SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 OLYMPIA DR, BARDSTOWN, KY 40004-2111
(502) 533-9898
Mailing address
111 OLYMPIA DR, BARDSTOWN, KY 40004-2111
(502) 533-9898
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R5912
KY
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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