Individual
IFFAT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1515 SHASTA DR, DAVIS, CA 95616-6691
(530) 747-7041
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210094
TX
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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