Individual
ANDREW SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASSISTANT PT
Contact information
Practice address
205 NOLAN PKWY, ARCHBOLD, OH 43502-8404
(567) 444-4800
(567) 444-4803
Mailing address
205 NOLAN PKWY, ARCHBOLD, OH 43502-8404
(567) 444-4800
(567) 444-4803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA.09814
OH
Other
Enumeration date
03/12/2015
Last updated
08/10/2015
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