Individual provider · Type 1 NPI

Shelly Shoup

Occupational Therapy Assistant · Hazleton, PA

NPI number 1053519462 Active

Practice location

1000 W 27th St
Hazleton, PA 18202-9604

Call (570) 454-8888 Map

Mailing address

18 Circle Dr
Berwick, PA 18603-5109

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOP002309L (PA)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1053519462

Shelly Shoup's National Provider Identifier is 1053519462, issued on Jul 6, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Hazleton, PA. The record was last updated on Jul 8, 2007.