Individual
MRS. VARSHA PIYUSH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4825 E ROOSEVELT ST, PHOENIX, AZ 85008-5917
(602) 629-6450
(602) 629-6470
Mailing address
1812 E MALLORY ST, MESA, AZ 85203-1328
(480) 464-1095
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0562
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640666
—
AZ
Enumeration date
02/16/2007
Last updated
07/08/2007
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