Individual
NADIA E SHIVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
350 N SILVERBELL RD APT 89, TUCSON, AZ 85745-2646
(520) 792-2592
Mailing address
350 N SILVERBELL RD APT 89, TUCSON, AZ 85745-2646
(520) 792-2592
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4606
AZ
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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