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Individual

NIRAJ SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT/R

Contact information

Practice address
6099 RIVERSIDE DR, DUBLIN, OH 43017-2004
(740) 953-1184
Mailing address
4134 BRYSON COVE CIR, DUBLIN, OH 43016-5020
(614) 397-2543

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009708
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009708
STATE LICENSE
OH
Enumeration date
02/28/2020
Last updated
07/24/2023
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