Individual
MRS. SHIVA BAMSHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3625 CARIBETH DR, ENCINO, CA 91436-4229
(818) 422-5885
Mailing address
3625 CARIBETH DR, ENCINO, CA 91436-4229
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1070608
CA
225XP0200X
Pediatric Occupational Therapist
809163
CA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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