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Individual
SHAWNEE SMITH
Active
Individual
SHAWNEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT,LMT
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
OT13379
FL
225700000X
Massage Therapist
MA49229
FL
225X00000X
Occupational Therapist
Primary
13379
FL
Other
Enumeration date
10/21/2008
Last updated
11/14/2014
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