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Individual

MS. KATHRYN SHUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
6117 GUNN HWY, TAMPA, FL 33625-4013
(813) 978-9700
(813) 558-6185
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
(813) 558-6185

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
06494
MD
225X00000X
Occupational Therapist
Primary
18491
FL
225X00000X
Occupational Therapist
46TR00198000
NJ
225X00000X
Occupational Therapist
649
HI

Other

Enumeration date
05/05/2007
Last updated
07/14/2022
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