Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | OT5068 | GA |
NPI | 1518208255 |
---|---|
Provider Name | Shilpa Hemant Dalvi |
First Address | Atlanta, GA 30340-6306 |
Second Address | Smyrna, GA 30082-4240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2013 |
Last Update Date | 05/03/2013 |