Individual
SHAUNA NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5406 W 149TH PL UNIT 6, HAWTHORNE, CA 90250-9446
(310) 650-0090
Mailing address
5406 W 149TH PL UNIT 6, HAWTHORNE, CA 90250-9446
(310) 650-0090
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-2132-0
HI
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309090
—
CA
Enumeration date
07/23/2021
Last updated
07/23/2021
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