Individual
SHENA NICOLE RADAM ANDAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2550 MORTHLAND DR, VALPARAISO, IN 46385-6704
(219) 309-2550
Mailing address
6419 OLD PORTER RD, PORTAGE, IN 46368-1604
(219) 413-6298
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008803A
IN
Other
Enumeration date
08/15/2025
Last updated
08/19/2025
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