Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariah Nicole Shane

Individual provider Occupational Therapy Assistant · NPI 1932850765

Mariah Nicole Shane is an Occupational Therapy Assistant in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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Practice location Address checks out

13574 Village Park Dr
Orlando, FL 32837-7689
Phone: (407) 990-2847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 18624 (FL)

Record details

NPI number1932850765
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022
Mailing address13574 Village Park Dr, Orlando, FL 32837-7689

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