Individual
SHELBY TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
5042 42ND ST S, ST PETERSBURG, FL 33711-4720
(727) 871-2784
Mailing address
3614 W ROLAND ST, TAMPA, FL 33609-2832
(813) 240-7109
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT22725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113274700
—
FL
01
—
OT22725
FL BOARD OF HEALTH
FL
Enumeration date
02/02/2022
Last updated
02/16/2023
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