Individual
SHAUNA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
700 MEASE PLZ, DUNEDIN, FL 34698-6680
(855) 840-7257
Mailing address
826 KAREN ST, PALM HARBOR, FL 34684-4618
(727) 277-3816
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16841
FL
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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