SHELLY SHOUP

HAZLETON, PA
NPI1053519462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: PA  OP002309L)
Enumeration Date2007-07-06
Last Update Date2007-07-08
Business Address
-- SHELLY SHOUP
1000 W 27TH ST
HAZLETON, PA 18202-9604
Phone number: 570-454-8888
Mailing Address
-- SHELLY SHOUP
18 CIRCLE DR
BERWICK, PA 18603-5109
Phone number:
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