Individual
MRS. JUDI H SHIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR,L
Contact information
Practice address
9227 HAVEN AVE, STE 300, RANCHO CUCAMONGA, CA 91730-5420
(800) 642-5031
Mailing address
3031 TIGERTAIL DR, LOS ALAMITOS, CA 90720-5238
(562) 430-6175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4817
CA
Other
Enumeration date
05/26/2007
Last updated
07/08/2007
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