Individual
MISS SHANTA SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4217 TRUMPWORTH CT, VALRICO, FL 33596-8494
(813) 731-9488
Mailing address
3104 GRAND PAVILION DR, APT 201, TAMPA, FL 33613-3395
(813) 731-9488
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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