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Contact Information

SHANITA V TYSON, COTA
4824 WATERS GATE DR
TAVARES, FL32778
 Phone: 407-252-4249
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SHANITA V TYSON · (Female)

NPI # 1619485562
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 01/12/2018
Last updated 05/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OTA15370
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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