Individual
SHAWN FOVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LOT
Contact information
Practice address
8254 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 342-4358
(804) 342-4316
Mailing address
8254 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 342-4358
(804) 342-4316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002733
VA
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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