MEDICARE: WHITNEY SHAY LEAR 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	OT15668	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	:	1366784951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY SHAY LEAR OTR/L

Provider Business Mailing Address
First Line	:	10200 GANDY BLVD N APT 1318
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33702-2322
Country	:	US
Telephone Number	:	941-209-0493
Fax Number	:

Provider Business Practice Location Address
First Line	:	10200 GANDY BLVD N APT 1318
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33702-2322
Country	:	US
Telephone Number	:	941-209-0493
Fax Number	:

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

Provider Enumeration Date	:	03/21/2013
Last Update Date	:	12/29/2024

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Directions to “ WHITNEY SHAY LEAR OTR/L” Practice Location

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