Jonathan Shade, OT

NPI 1740658202 · on the registry since 2015

Practice

Address: 1509 W Orange Blossom Trl
Apopka, FL 32712
Phone: (407) 814-0436
Fax: (407) 814-0818
Organisation at this address: Aqua Rehabilitation, Inc.
Vicory Rehabilitation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida