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Ms. Shanin Leah Degraw, PTA
Specialist in Fernandina Beach, Florida
NPI 1164780615

Shanin Leah Degraw is a Specialist based in Hilliard, FL. Shanin Leah Degraw practices in Fernandina Beach, FL and has the professional credentials of PTA. The NPI Number for Shanin Leah Degraw is 1164780615 and holds a License No. PTA22943 (Florida).

The current practice location address for Shanin Leah Degraw is 1885 S 14Th St, Fernandina Beach, FL and can be reached out via phone at 904-277-4449.

Location: 1885 S 14Th St, Fernandina Beach, FL, 32046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164780615
Provider Name
Shanin Leah Degraw
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
1885 S 14Th St, Fernandina Beach, FL, 32046
Phone Number
904-277-4449
Fax Number
Provider Enumeration Date
05/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1885 S 14Th St
City
Fernandina Beach
State
Florida
Zip
32034-3033
Phone Number
904-277-4449
Fax Number
person
Provider Business Mailing Address Details
Address
1885 S 14Th St
City
Fernandina Beach
State
Florida
Zip
32034-3033
Phone Number
904-277-4449
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PTA22943 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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