Basic Information
| Provider Information | |||||||||
| NPI: | 1457942427 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GIOSIA | ||||||||
| FirstName: | SHAYLA | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 325 FAYANN CT | ||||||||
| Address2: | |||||||||
| City: | RUNNEMEDE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080781938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6092068548 | ||||||||
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| Practice Location | |||||||||
| Address1: | 129 N WHITE HORSE PIKE STE B | ||||||||
| Address2: | |||||||||
| City: | HAMMONTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080371874 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6097041980 | ||||||||
| FaxNumber: | 6097049054 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2021 | ||||||||
| LastUpdateDate: | 02/01/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 46TR00923100 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.