Individual
KHUSHALI NITIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.OT
Contact information
Practice address
4907 NW 43RD ST STE C, GAINESVILLE, FL 32606-2007
(352) 372-0047
Mailing address
5350 E SILVER SPRINGS BLVD, SILVER SPRINGS, FL 34488-1714
(772) 812-4339
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
16240
FL
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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