| Dr Jennise Elaine Shaw, OTD OTR/L | |
|
6834 Medical View Ln, Zephyrhills, FL 33542-6615 | |
| (813) 783-3187 | |
| Not Available |
| Full Name | Dr Jennise Elaine Shaw |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 6834 Medical View Ln, Zephyrhills, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417715392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT25087 (Florida) | Primary |
| Provider Name | Sports And Orthopedic Rehabilitation Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336539030 PECOS PAC ID: 0840104253 Enrollment ID: O20170728000765 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennise Elaine Shaw, OTD OTR/L 2911 Network Pl Apt 204a, Lutz, FL 33559-3171 Ph: () - | Dr Jennise Elaine Shaw, OTD OTR/L 6834 Medical View Ln, Zephyrhills, FL 33542-6615 Ph: (813) 783-3187 |
Maria Christine Perez-quilab, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 38250 A Ave, Zephyrhills, FL 33542 Phone: 813-364-5496 | |
Christa N Mann, MOT, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6834 Medical View Ln, Zephyrhills, FL 33542 Phone: 813-783-3187 | |
Maria D'ettorre, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7050 Gall Blvd, Zephyrhills, FL 33541 Phone: 973-626-2807 | |
Kaeleigh Renee Hicks, MOT, OTR/L, CLT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 38250 A Ave, Zephyrhills, FL 33542 Phone: 813-364-5550 Fax: 813-364-5496 | |
Teresa Lynn Warmke, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7350 Dairy Rd, Zephyrhills, FL 33540 Phone: 813-788-4300 | |
Dr. Ashtin Callahan, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6834 Medical View Ln, Zephyrhills, FL 33542 Phone: 813-783-3187 | |
Mrs. Evelyn Lopez, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7050 Gall Blvd, Zephyrhills, FL 33541 Phone: 813-788-0411 Fax: 813-715-6607 |