Individual
MS. DISHA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16150 NE 85TH ST, STE. 220, REDMOND, WA 98052-3539
(425) 558-0558
Mailing address
16150 NE 85TH ST, STE. 220, REDMOND, WA 98052
(425) 558-0558
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 15732
CA
Other
Enumeration date
03/07/2016
Last updated
08/29/2016
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