Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHANIN LEAH DEGRAW, PTA
Active Sole ProprietorMS. SHANIN LEAH DEGRAW, PTA is a Specialist healthcare provider located in FERNANDINA BEACH, Florida. NPI 1164780615 is currently active in the NPPES registry. Verify at CMS.
Specialist · FERNANDINA BEACH, FL
Registration Details
- NPI Number
- 1164780615
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2012 (14.250811144687 yrs)
- Last Updated
- May 2, 2012
- License
-
PTA22943 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1885 S 14TH STFERNANDINA BEACH, FL, 320343033Browse FL providers · Browse ZIP 32034
- Phone
- 9042774449
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in FERNANDINA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES MARINO | RPT | 1285847988 |
| MS. SARA ABRAMS | DPT | 1982817607 |
| MS. KAREN RICHARDSON | PTA | 1346453891 |
| MR. JEFFREY WARREN HALL | LMT | 1528273067 |
| MS. DEBRA MARIE COTNER | PTA | 1952669087 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.