Individual
KELLY SHIMABUKURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR
Contact information
Practice address
560 SPRINGFIELD AVE, WESTFIELD, NJ 07090-1024
(908) 233-0100
Mailing address
3 ADAMS TER, CLIFTON, NJ 07013-4048
(862) 200-0300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01011800
NJ
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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