Detra Shauntel Simpo, OTR/L | |
518 Dry Branch Way, St Johns, FL 32259-6203 | |
(904) 382-7886 | |
Not Available |
Full Name | Detra Shauntel Simpo |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 518 Dry Branch Way, St Johns, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710071220 | NPI | - | NPPES |
Z9346 | Other | FL | BCBS |
024815600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT9940 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Detra Shauntel Simpo, OTR/L 518 Dry Branch Way, St Johns, FL 32259-6203 Ph: (904) 382-7886 | Detra Shauntel Simpo, OTR/L 518 Dry Branch Way, St Johns, FL 32259-6203 Ph: (904) 382-7886 |
Alelee Herrera, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 397 Sentosa Dr Unit 208, St Johns, FL 32259 Phone: 505-721-9839 | |
Elizabeth Longendelpher, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Fountains Way, Bldg 4, Suite 2, St Johns, FL 32259 Phone: 904-825-2660 | |
Therapedz Therapist Unlimited, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14574 Durbin Island Way, St Johns, FL 32259 Phone: 904-200-2712 |