Individual
PIA SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5430 W US 40, GREENFIELD, IN 46140-8803
(317) 894-3301
Mailing address
5328 N KENYON DR, INDIANAPOLIS, IN 46226-1740
(317) 374-5786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001005A
IN
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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