Individual
JANE SHIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
18350 MOUNT LANGLEY ST, #105, FOUNTAIN VALLEY, CA 92708-6900
(714) 965-2324
(714) 965-2684
Mailing address
18350 MOUNT LANGLEY ST, #105, FOUNTAIN VALLEY, CA 92708-6900
(714) 965-2324
(714) 965-2684
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
14432
CA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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