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Individual

SIDRA SHAFAQ AHMAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
105 WAXHAW PROFESSIONAL PARK DR STE A, WAXHAW, NC 28173-5018
(704) 627-4027
Mailing address
7849 MEADOWVIEW LN, CHARLOTTE, NC 28270-0956

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13228
NC
225X00000X
Occupational Therapist

Other

Enumeration date
10/26/2007
Last updated
12/28/2025
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