MS. Shanin Leah Degraw, PTA

NPI #1164780615 in Fernandina Beach, Florida

Provider Information

NPI Number: 1164780615
Entity Type: Individual
Name: MS. Shanin Leah Degraw, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: May 2, 2012
Last Updated: May 2, 2012

Practice Location

Address: 1885 S 14TH ST
City: Fernandina Beach
State: Florida
ZIP Code: 32034-3033
Phone: (904) 277-4449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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