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

DEANDRE KELLY SHANESE SMALL, PT

Active

DEANDRE KELLY SHANESE SMALL, PT is a Physical Therapy Assistant healthcare provider located in HOMOSASSA, Florida. NPI 1396312559 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HOMOSASSA, FL

Registration Details

NPI Number
1396312559
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2021 (5.0037727140838 yrs)
Last Updated
Jun 7, 2021
License
PT36881 (FL)

Practice Information

Address
8477 S SUNCOAST BLVD
HOMOSASSA, FL, 344465028
Browse FL providers · Browse ZIP 34446
Phone
3524487857
Fax
3523827781
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in HOMOSASSA, FL

Name Credential NPI
MRS. DREAMA MARIE WALDROP P.T. 1275538712
MARIUSZ PASZEK PT 1558362764
SHARON MULLARKEY STONE PT 1457302945
PIET JAAK HUYS P.T. 1033274733
BRIAN CIPOLLA PT 1497920888
AILYN MIRANDA VASQUEZ PT 1528207008
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.