Individual
MR. AARON DAVID SHAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR L
Contact information
Practice address
15802 NORTH PARKVIEW PLACE, SURPRISE, AZ 85374
(623) 876-7022
Mailing address
15055 W CHARTER OAK RD, SURPRISE, AZ 85379-5921
(623) 826-8908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3129
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818544
—
AZ
Enumeration date
02/07/2007
Last updated
07/09/2007
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