Individual
SHOSHANA SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
31 PONDEROSA DR, LAKEWOOD, NJ 08701-5156
(718) 951-8800
(718) 951-0846
Mailing address
31 PONDEROSA DR, LAKEWOOD, NJ 08701-5156
(718) 951-8800
(718) 951-0846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00599900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00599900
LICENSE#
NJ
Enumeration date
03/14/2013
Last updated
03/14/2013
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