Individual
SHEILA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 HUNTINGTON LN, ROCKLEDGE, FL 32955-3136
(321) 604-4076
Mailing address
6720 HUNDRED ACRE DR, COCOA, FL 32927-2360
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11560
FL
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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