Individual
SHAINA R JOYANDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2 COUNTRY CLUB LN, ELIZABETH, NJ 07208-2607
(908) 764-4652
Mailing address
2 COUNTRY CLUB LN, ELIZABETH, NJ 07208-2607
(908) 764-4652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022411-1
NY
225X00000X
Occupational Therapist
46TR00828600
NJ
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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