DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLY SHOUP

Active

SHELLY SHOUP is a Occupational Therapy Assistant healthcare provider located in HAZLETON, Pennsylvania. NPI 1053519462 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · HAZLETON, PA

Registration Details

NPI Number
1053519462
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2007 (19.110172333091 yrs)
Last Updated
Jul 8, 2007
License
OP002309L (PA)

Practice Information

Address
1000 W 27TH ST
HAZLETON, PA, 182029604
Browse PA providers · Browse ZIP 18202
Phone
5704548888
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in HAZLETON, PA

Name Credential NPI
MR. ANTHONY JOHN STACHURSKI JR. COTA/L 1598964330
JULIE KLINGER 1306036991
CATIE STAMETS 1851716096
AMANDA MORRIS 1316310618
MISS MARISSA NICOLE LARSON COTA/L 1366954653
ALYSSA JEAN MACHMER 1265935019
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.