Individual
JOSHUA SHEAROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
732 WESSEX PL, ORLANDO, FL 32803-6637
(407) 496-0369
Mailing address
732 WESSEX PL, ORLANDO, FL 32803-6637
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16287
FL
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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