Individual
KANAN VIJAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8001 LYNBROOK DR, BETHESDA, MD 20814-4642
(240) 740-5500
Mailing address
850 HUNGERFORD DR, ROCKVILLE, MD 20850-1718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05464
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05464
MARYLAND STATE BOARD OF OCCUPATIONAL THERAPY
MD
Enumeration date
03/15/2019
Last updated
03/15/2019
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