Individual
SHANGA STEWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12100 CHANCELLORS VILLAGE LN, FREDERICKSBURG, VA 22407-6100
(540) 786-1491
Mailing address
12100 CHANCELLORS VILLAGE LN, FREDERICKSBURG, VA 22407-6100
(540) 786-1491
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0131001414
VA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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