Individual
MADELINE SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 S MAIN ST, WOODSTOCK, VA 22664-1125
(504) 495-5676
Mailing address
153 DROMS RD, SCHENECTADY, NY 12302-9739
(518) 573-9040
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002794
VA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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