Individual
ADI SHAKTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1785 SAN CARLOS AVENUE SUITE 6, SAN CARLOS, CA 94070-2026
(510) 501-9835
Mailing address
778 COLEMAN AVENUE APT C, MENLO PARK, CA 94025-2473
(408) 464-1920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT3565
CA
225XM0800X
Mental Health Occupational Therapist
Primary
OT3565
CA
Other
Enumeration date
05/11/2007
Last updated
10/31/2024
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