Lee, Shanice

Lee, Shanice is an sole proprietor health care provider with primary practice located at 15291 Nw 60Th Ave Ste 101 , Miami Lakes FL 33014-2459. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Lee, Shanice can be contacted via phone (305) 705-7702.

Contact Information

Primary practice address
15291 Nw 60Th Ave Ste 101 Miami Lakes FL 33014-2459
Phone: (305) 705-7702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA17945 Florida

Profile Details

NPI number 1881362648
LBN Legal business name Lee, Shanice
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2021
Last updated Sep 6th, 2021 - about 4 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 1881362648 NPPES
Florida MEDICAID OTA17945

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