Individual
TIFFANY F SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L,CLT
Contact information
Practice address
7000 SPYGLASS CT STE 120, MELBOURNE, FL 32940-7948
(321) 241-6543
(321) 241-6513
Mailing address
7000 SPYGLASS CT STE 120, MELBOURNE, FL 32940-7948
(321) 241-6543
(321) 241-6513
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11236
FL
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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