Individual
ANITA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(310) 325-9110
Mailing address
11931 AGNES ST, CERRITOS, CA 90703-6901
(562) 746-7393
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10614
CA
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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