Individual
JEWELL MAE SHOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
642 N 3RD ST, DANVILLE, KY 40422-1125
(859) 238-3972
Mailing address
642 N 3RD ST, DANVILLE, KY 40422-1125
(859) 238-3972
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2260
KY
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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