Individual
AMISHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4027 OLLEY LN, FAIRFAX, VA 22032-1323
(703) 425-3535
Mailing address
4211 SLEEPY LAKE DR, FAIRFAX, VA 22033-2840
(347) 207-2709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004313
VA
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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