Individual
MS. LATIA SHANAE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6551 PARK OF COMMERCE BLVD., BOCA RATON, FL 33487
(800) 530-6125
Mailing address
1413 COLONY RD., OXON HILL, MD 20745
(301) 751-3250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06432
MD
225X00000X
Occupational Therapist
113784
TX
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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