Shimp, Deidre Ann

Shimp, Deidre Ann is an sole proprietor health care provider with primary practice located at 1219 Dunn Ave , Daytona Beach FL 32114-2405. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Shimp, Deidre Ann can be contacted via phone (386) 255-4568.

Contact Information

Primary practice address
1219 Dunn Ave Daytona Beach FL 32114-2405
Phone: (386) 255-4568
Fax: (386) 252-3403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT14327 Florida

Profile Details

NPI number 1063713089
LBN Legal business name Shimp, Deidre Ann
Credentials OCCUPATIONAL THERAPY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2010
Last updated Nov 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063713089 NPPES
Florida Other OT14327 OCCUPATIONAL THERAPY LICENCE

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