STACY SHORE

GAINESVILLE, FL
NPI1780807289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: FL  OT7559)
Enumeration Date2007-04-11
Last Update Date2007-07-09
Business Address
-- STACY SHORE OTR
120 NW 28TH ST
GAINESVILLE, FL 32607-2511
Phone number: 352-246-5384
Mailing Address
-- STACY SHORE OTR
379 MAGUIRE VLG APT 6
GAINESVILLE, FL 32603-2079
Phone number: 352-846-5492