Individual
SHITAL GAUTAM MISTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELOR IN OT
Contact information
Practice address
36 ELDORADO WAY, MONROE TWP, NJ 08831-4510
(732) 925-6567
Mailing address
36 ELDORADO WAY, MONROE TWP, NJ 08831-4510
(732) 925-6567
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00153100
NJ
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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