Individual
SHANTEL NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2743 CAPITAL CIR NE STE 106, TALLAHASSEE, FL 32308-1115
(850) 725-5008
Mailing address
2743 CAPITAL CIR NE STE 106, TALLAHASSEE, FL 32308-1115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17923
FL
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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