Individual provider · Type 1 NPI

Jonathan Peter Shade, OT

Occupational Therapist · Apopka, FL

NPI number 1740658202 Active

Practice location

1509 W Orange Blossom Trl
Apopka, FL 32712-2640

Fax (407) 814-0818

Mailing address

585 Preston Rd
Longwood, FL 32750-3945

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT1641 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1740658202

Jonathan Peter Shade, OT's National Provider Identifier is 1740658202, issued on Sep 14, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Apopka, FL. The record was last updated on Sep 14, 2015.