Individual
SHANTEL ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
321 WOODMERE BLVD, WOODMERE, NY 11598-2035
(516) 295-1340
Mailing address
11725 142ND PL, SOUTH OZONE PARK, NY 11436-1232
(347) 233-5373
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
03/14/2017
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