Individual
MANISHA PRAVIN SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
30 BUXTON FARM ROAD, SUITE 230, STAMFORD, CT 06905
(203) 212-4191
Mailing address
30 BUXTON FARM RD, SUITE 230, STAMFORD, CT 06905
(203) 212-4191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
991929
CT
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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