IndividualActive
Shahied Primm, OT/L
NPI 1861974826 · Gerontology Occupational Therapist · Longwood, FL
Provider details
- NPI number
- 1861974826
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- OT4258 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
255 N Castleford Ct
Longwood, FL 32779-4582
Phone: (321) 439-6444
Approximate (ZIP-level) locationGet directions
Mailing address
255 N Castleford Ct
Longwood, FL 32779-4582
Registry dates
- Enumerated
- 2018-09-05
- Last updated
- 2018-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.