| Shanita Venise Tyson, COTA | |
|
6 N Eustis St, Eustis, FL 32726-3408 | |
| (321) 276-5054 | |
| Not Available |
| Full Name | Shanita Venise Tyson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 6 N Eustis St, Eustis, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619485562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTA15370 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shanita Venise Tyson, COTA 4824 Waters Gate Dr, Tavares, FL 32778-6208 Ph: (407) 252-4249 | Shanita Venise Tyson, COTA 6 N Eustis St, Eustis, FL 32726-3408 Ph: (321) 276-5054 |
Rachelle Nacor, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Ruleme St, Eustis, FL 32726 Phone: 352-483-5037 | |
Mrs. Christine Lynn Gramaglia, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 437 West Ardice Ave, Eustis, FL 32726 Phone: 352-505-4754 | |
Mr. Carlo Bartolata Montenegro, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2800 Ruleme St, Apt C-35, Eustis, FL 32726 Phone: 321-946-1617 | |
Jo Ann Roda-harcombe, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 443 Plaza Dr, Eustis, FL 32726 Phone: 352-589-5595 Fax: 352-589-5747 | |
Medine Mauvais, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6 N Eustis St, Eustis, FL 32726 Phone: 321-276-5054 | |
Mr. Carlos Elemia Saducas Jr., OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Ruleme St, Eustis, FL 32726 Phone: 352-357-1990 | |
Stacey Digiulio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 S Bay St, Eustis, FL 32726 Phone: 352-357-8105 Fax: 352-589-1182 |