Individual
MR. MICHAEL JAMES SHOOPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
5268 SUMMERSET DR, TIPP CITY, OH 45371-8140
(937) 268-6511
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
28439
OH
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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