Individual
MISS SHILPA BHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17 N PLANK RD STE 10, NEWBURGH, NY 12550-2111
(845) 800-9305
Mailing address
81 NOTTINGHAM ROAD, FAIR LAWN, NJ 07410
(201) 273-8163
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
010632
NY
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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