Individual
DANA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 E LOUISE DR STE 400, MERIDIAN, ID 83642-5123
(208) 381-2138
Mailing address
3546 N SIROCCO AVE, MERIDIAN, ID 83646-6120
(858) 248-1889
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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