Individual
AIMEE GRACE SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8532 CANTERBURY LAKE BLVD, TAMPA, FL 33619-6674
(813) 382-2056
Mailing address
8532 CANTERBURY LAKE BLVD, TAMPA, FL 33619-6674
(813) 382-2056
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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