Individual
SHANNA DUFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11865 BAYPORT LN APT 4, FORT MYERS, FL 33908-4472
(239) 671-0677
Mailing address
11865 BAYPORT LN APT 4, FORT MYERS, FL 33908-4472
(239) 671-0677
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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