Individual
JANAE MARIE SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4641 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1550
(859) 409-3727
Mailing address
4641 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1550
(859) 409-3727
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19046
KY
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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