Individual
DR. GREGORY MICHAEL SHAHUM
Active
Individual
DR. GREGORY MICHAEL SHAHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MHA, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
003443
CT
225X00000X
Occupational Therapist
Primary
8304
NC
376G00000X
Nursing Home Administrator
001929
CT
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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