DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON DOMFORT

Active Sole Proprietor

SHANNON DOMFORT is a Pediatric Occupational Therapist healthcare provider located in PALM HARBOR, Florida. NPI 1376912063 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · PALM HARBOR, FL

Registration Details

NPI Number
1376912063
Provider Type
Individual
Gender
Female
NPI Issued
Sep 23, 2015 (10.7080926627 yrs)
Last Updated
Jan 26, 2020
License
OT20621 (FL)
Sole Proprietor
Yes

Practice Information

Address
31840 US HIGHWAY 19 N
PALM HARBOR, FL, 346843713
Browse FL providers · Browse ZIP 34684
Phone
7272029200
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in PALM HARBOR, FL

Name Credential NPI
LIDU IVETTE POTTER OT 1013024686
GRISEL SCHUTZ-CABRERA OT 1922115591
LISA MARIE ROCCIA OTRL 1699814467
MEREDITH REBECCA MORIG OTR/L 1679717979
MRS. STEPHANIE BUTLER M.S., OTR/L 1376931790
STEPHANIE RICKRODE O.T. 1720433741
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.