MEDICARE: SHELBI CHRISTIN WARE M.S., OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	18995	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871093914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBI CHRISTIN WARE M.S., OTR/L

Provider Business Mailing Address
First Line	:	1804 SW GREGOR WAY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7065
Country	:	US
Telephone Number	:	772-418-2266
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 US HIGHWAY 1 STE 210
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3547
Country	:	US
Telephone Number	:	561-776-8612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2018
Last Update Date	:	07/04/2019

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