Shauna Colby

Individual provider Active NPI Developmental Therapist · Holiday, FL

NPI 1033859848 · NPPES record last updated Mar 30, 2022

Key facts

NPI
1033859848
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
5134 Sandalwood Dr
Holiday, FL 34690-6156
Phone
(727) 482-3292
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

5134 Sandalwood Dr
Holiday, FL 34690-6156

Mailing address

5134 Sandalwood Dr
Holiday, FL 34690-6156
Phone (727) 482-3292

Other providers in Holiday, FL

All providers in Holiday, FL · Developmental Therapist in Florida

Sources for this page

Verify at the official NPI Registry.