Individual
BHAVNA SAMVEG SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 REAGAN ST, OLD BRIDGE, NJ 08857-3933
(732) 416-0599
Mailing address
6 REAGAN ST, OLD BRIDGE, NJ 08857-3933
(732) 416-0599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00132700
NJ
Other
Enumeration date
04/18/2009
Last updated
04/18/2009
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