Individual
SHAHNAZ MITHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N CENTRAL AVE, KISSIMMEE, FL 34741-4450
(800) 378-7597
Mailing address
945 MAIN ST, WINDERMERE, FL 34786-8728
(469) 688-7538
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19725
FL
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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