Individual
THEA SHUKALIAK NEUFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
3357 VICTORIA AVE, LAFAYETTE, CA 94549-4620
(415) 691-5635
Mailing address
3357 VICTORIA AVE, LAFAYETTE, CA 94549-4620
(415) 691-5635
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
20355
CA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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