Organization
SHINE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMCHIT SHALIYEHSABOU (SLP)
(818) 605-9788
Entity
Organization
Contact information
Practice address
7110 BOXFORD RD, BALTIMORE, MD 21215-1704
(818) 605-9788
Mailing address
7110 BOXFORD RD, BALTIMORE, MD 21215-1704
(818) 605-9788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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