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

SHAWN WILSON, PTA

Active Sole Proprietor

SHAWN WILSON, PTA is a Occupational Therapist healthcare provider located in PALM BAY, Florida. NPI 1447341821 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · PALM BAY, FL

Registration Details

NPI Number
1447341821
Provider Type
Individual
Gender
Male
NPI Issued
Sep 28, 2006 (19.692628937949 yrs)
Last Updated
Jul 8, 2007
License
PTA 18076 (FL)
Sole Proprietor
Yes

Practice Information

Address
490 CENTRE LAKE DR NE
PALM BAY, FL, 329071189
Browse FL providers · Browse ZIP 32907
Phone
3217689776
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in PALM BAY, FL

Name Credential NPI
MR. RICHARD SCOTT PATZLAFF PTA 1275671984
NOMARA JEANNE BUCK PTA 1073639456
MRS. SHANNON ALEXANDRIA REEDER PTA 1992999254
MR. GILBERT WAYNE SEIFERT JR. P.T.A. 1124332390
MS. PATTY JEAN BOHR PTA 1912278425
MR. JOHN LEONARD WILSON JR. PTA 1427329887
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.