Individual
MRS. KSHITIJA R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2455 TAMARACK TRL, BLOOMINGTON, IN 47408-1294
(812) 330-4375
Mailing address
1591 S ANDREW CIR, BLOOMINGTON, IN 47401-7147
(812) 331-0312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001190A
IN
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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