Individual
MRS. KIMBERLY S SHAHZAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12052 N SHORE DR, RESTON, VA 20190-4969
(571) 926-9398
Mailing address
12052 N SHORE DR, RESTON, VA 20190-4969
(571) 926-9398
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000183
VA
Other
Enumeration date
11/04/2012
Last updated
05/21/2015
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