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Individual

SHIRA SHALOMCHAIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1525 PROSPECT ST, LAKEWOOD, NJ 08701-4642
(732) 961-7413
Mailing address
232 MARTIN LUTHER KING DR, LAKEWOOD, NJ 08701-4844
(732) 552-3824

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
04/04/2019
Last updated
04/04/2019
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