Individual
BRANDON SHOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
735 2ND AVE, GALLIPOLIS, OH 45631-1513
(740) 446-5769
Mailing address
735 2ND AVE, GALLIPOLIS, OH 45631-1513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010057
OH
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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