Individual
MS. SHIVA ASHRAFZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5435 MIDDLECREST RD, RANCHO PALOS VERDES, CA 90275-5035
(310) 503-0611
Mailing address
5435 MIDDLECREST RD, RANCHO PALOS VERDES, CA 90275-5035
(310) 503-0611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
462167
CA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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