Individual
SHAINA GANATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4045 E UNION HILLS DR STE 110, PHOENIX, AZ 85050-3389
(602) 736-3043
Mailing address
2618 W BUIST AVE, PHOENIX, AZ 85041-9533
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6723
AZ
Other
Enumeration date
02/24/2018
Last updated
02/24/2018
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