Individual
SHAUNA MARIE KRZANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8441 BOWIE WAY, LAKE WORTH, FL 33467-1176
(561) 966-0719
(561) 967-3837
Mailing address
8441 BOWIE WAY, LAKE WORTH, FL 33467-1176
(561) 966-0719
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
OT2306
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT002306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880307200
—
FL
Enumeration date
03/29/2007
Last updated
08/29/2011
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