Individual
ALLIZEY SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
424 S MAIN ST, FORKED RIVER, NJ 08731-4654
(732) 887-5207
Mailing address
3 BERKELEY PL, EATONTOWN, NJ 07724-2535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01031500
NJ
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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