Individual
ARCHNA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
885 HOWLAND WILSON RD NE, WARREN, OH 44484-2115
(330) 856-2107
(330) 856-2107
Mailing address
885 HOWLAND WILSON RD NE, WARREN, OH 44484-2115
(330) 856-2107
(330) 856-2107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 005273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217947
ANTHEM
OH
05
—
8674500
—
OH
Enumeration date
02/07/2007
Last updated
07/09/2007
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