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Individual

AMI SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1652 W TEXAS ST STE 259, FAIRFIELD, CA 94533-6079
(716) 440-6713
Mailing address
39380 CIVIC CENTER DR APT 418, FREMONT, CA 94538-6756
(716) 440-6713

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13410
CA

Other

Enumeration date
12/18/2019
Last updated
12/18/2019
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