Individual
ISHITA DUSHYANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 RUSSELL AVE, GAITHERSBURG, MD 20877
(301) 216-4247
Mailing address
1110 FIDLER LN APT 1522, SILVER SPRING, MD 20910-3422
(412) 801-1480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07457
MD
Other
Enumeration date
09/18/2014
Last updated
08/07/2019
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