Individual
SHIRLEY WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1477 HUEY ST, WILDWOOD, FL 34785-4233
(352) 251-3902
Mailing address
11078 SE 168TH LOOP, SUMMERFIELD, FL 34491-1885
(843) 442-3211
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12288
FL
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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