Individual
SHANIA IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
3535 RANDOLPH RD, CHARLOTTE, NC 28211-1086
(704) 931-8022
Mailing address
1323 QUEENS RD UNIT 227, CHARLOTTE, NC 28207-2163
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16422
NC
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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