Individual
DR. JENNISE ELAINE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD OTR/L
Contact information
Practice address
6834 MEDICAL VIEW LN, ZEPHYRHILLS, FL 33542-6615
(813) 783-3187
Mailing address
2911 NETWORK PL APT 204A, LUTZ, FL 33559-3171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT25087
FL
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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