Individual
VIDHI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 SUNCHASE BLVD APT C, FARMVILLE, VA 23901-2982
(909) 647-7024
Mailing address
301 SUNCHASE BLVD APT C, FARMVILLE, VA 23901-2982
(909) 647-7024
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005090
VA
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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