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NPI Code Detail

MEDICARE: SHUMAILA SIDRA SALIM OTR/L

MEDICARE: SHUMAILA SIDRA SALIM OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist29057CA

General Provider Information

NPI Number : 1417884032
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHUMAILA SIDRA SALIM OTR/L
Provider Business Mailing Address
First Line : 301 E FOOTHILL BLVD STE 100
Second Line :
City : ARCADIA
State : CA
Zip : 91006-2551
Country : US
Telephone Number : 626-275-6302
Fax Number :
Provider Business Practice Location Address
First Line : 301 E FOOTHILL BLVD STE 100
Second Line :
City : ARCADIA
State : CA
Zip : 91006-2551
Country : US
Telephone Number : 626-275-6302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/18/2026

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