Individual
MRS. SHIBANI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8 ELIJAH CT, MONTVILLE, NJ 07045-9621
(916) 916-5801
Mailing address
8 ELIJAH CT, MONTVILLE, NJ 07045-9621
(916) 916-5801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00248800
NJ
Other
Enumeration date
05/21/2016
Last updated
05/21/2016
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