Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DETRA SHAUNTEL SIMPO, OTR/L
Active Sole ProprietorDETRA SHAUNTEL SIMPO, OTR/L is a Occupational Therapist healthcare provider located in ST JOHNS, Florida. NPI 1710071220 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ST JOHNS, FL
Registration Details
- NPI Number
- 1710071220
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2006 (19.859426781371 yrs)
- Last Updated
- Sep 1, 2020
- License
-
OT9940 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
518 DRY BRANCH WAYST JOHNS, FL, 322596203Browse FL providers · Browse ZIP 32259
- Phone
- 9043827886
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in ST JOHNS, FL
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH LONGENDELPHER | OT | 1760231336 |
| ALELEE HERRERA | OTR/L | 1629895982 |
| ZIVANA HOFFSTETTER | — | 1437948668 |
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.