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NPI Code Detail

MEDICARE: MS. KATHRYN SHUST OTRL

MEDICARE:  MS. KATHRYN  SHUST  OTRL
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
1225X00000XOccupational Therapist46TR00198000NJ
2225X00000XOccupational Therapist649HI
3225X00000XOccupational Therapist06494MD
4225X00000XOccupational Therapist18491FL

General Provider Information

NPI Number : 1962614354
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHRYN SHUST OTRL
Provider Business Mailing Address
First Line : 13020 N TELECOM PKWY
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-0915
Country : US
Telephone Number : 813-978-9700
Fax Number : 813-558-6185
Provider Business Practice Location Address
First Line : 6117 GUNN HWY
Second Line :
City : TAMPA
State : FL
Zip : 33625-4013
Country : US
Telephone Number : 813-978-9700
Fax Number : 813-558-6185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2007
Last Update Date : 07/14/2022

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Directions to “ MS. KATHRYN SHUST OTRL” Practice Location

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