| NPI | 1033233101 |
|---|---|
| Former Name | SHELBY ZAWISTOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 13096) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 7967) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-09-03 |