Mr. Michael J. Shoopman CTRS
Recreation Therapist in Dayton, OH(View on Map)
Full Name
Mr. Michael James Shoopman CTRS
NPI Number
1750392759
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/11/2006
Specialties
(Taxonomies)Licenses
State
Ohio
License Number
28439
Contact
Information
Purpose
Mailing
Location
Address
5268 SUMMERSET DR
4100 W 3RD ST
City
Tipp City
Dayton
State
OH
OH
Postal Code
45371-8140
45428-9000
Country
US
US
Telephone Number
(937) 268-6511
(937) 268-6511
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007
Provider Address
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