Individual
SHAFAGH GANJIKIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
327 HERSHBERGER RD, ROANOKE, VA 24012-1956
(540) 265-2199
(540) 265-2242
Mailing address
2310 YORK RD SW, ROANOKE, VA 24015-3906
(540) 589-3260
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006842
VA
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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