Individual
SHELBY CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 BROCK AVE, HOPKINSVILLE, KY 42240-1125
(270) 987-1363
Mailing address
436 HOUSTON OAKS DR, PARIS, KY 40361-2704
(606) 584-1169
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
173006
KY
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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