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

Individual provider Pediatric Occupational Therapist · NPI 1780807289

Stacy Shore, OTR is a Pediatric Occupational Therapist in Gainesville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

120 NW 28th St
Gainesville, FL 32607-2511
Phone: (352) 246-5384
Fax: (352) 376-0126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT7559 (FL)

Record details

NPI number1780807289
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 9, 2007

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