Individual
SHONEISHA M NALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1705 JESS PARRISH CT, TITUSVILLE, FL 32796-2158
(386) 334-6141
Mailing address
8585 JULIA MARIE CIR, JACKSONVILLE, FL 32210-0413
(904) 708-9491
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15194
FL
Other
Enumeration date
05/27/2019
Last updated
05/27/2019
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