Shelly Shoup
NPI #1053519462 in Hazleton, Pennsylvania
Provider Information
- NPI Number
- 1053519462
- Entity Type
- Individual
- Name
- Shelly Shoup
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Jul 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1000 W 27TH ST
- City
- Hazleton
- State
- Pennsylvania
- ZIP Code
- 18202-9604
- Phone
- (570) 454-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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