Individual
MS. FIONA SHALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
88 W END AVE, 1ST FLOOR, BROOKLYN, NY 11235-5554
(718) 648-2500
Mailing address
2034 SEAGIRT BLVD, APT. #1G, FAR ROCKAWAY, NY 11691-5925
(347) 731-8271
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006220
NY
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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