Individual
NEHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 PEACH ST, DUBLIN, GA 31021-7231
(678) 789-3190
Mailing address
1434 PEACH ST, DUBLIN, GA 31021-7231
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000576
GA
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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