ALLISEN ELAINE SHAW

MODESTO, CA
NPI1891545018
Former NameALLISEN ELAINE BROWN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  1199)
Enumeration Date2024-03-22
Last Update Date2024-03-22
Business Address
ALLISEN ELAINE SHAW OTA
3620 DALE RD STE B
MODESTO, CA 95356-0598
Phone number: 209-450-9205
Mailing Address
ALLISEN ELAINE SHAW OTA
1321 SUZANNE AVE
MODESTO, CA 95350-2872
Phone number: 209-450-9205