Individual
MS. JASIA SHILLINGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 W SR 434, LONGWOOD, FL 32779-4878
(321) 972-8326
Mailing address
2639 W SR 434, LONGWOOD, FL 32779-4878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24758
FL
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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