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Shanika Packard
Rehabilitation Practitioner in Ontario, California
NPI 1134633969

Shanika Packard is a Rehabilitation Practitioner based in Ontario, CA. Shanika Packard practices in Ontario, CA. The NPI Number for Shanika Packard is 1134633969 and holds a License No. (California).

The current practice location address for Shanika Packard is 1500 S Haven Ave Ste 250, Ontario, CA and can be reached out via phone at 909-749-5204.

Location: 1500 S Haven Ave Ste 250, Ontario, CA, 91761-2973
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134633969
Provider Name
Shanika Packard
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 S Haven Ave Ste 250, Ontario, CA, 91761-2973
Phone Number
909-749-5204
Fax Number
Provider Enumeration Date
12/01/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Haven Ave Ste 250
City
Ontario
State
California
Zip
91761-2973
Phone Number
909-749-5204
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Haven Ave Ste 250
City
Ontario
State
California
Zip
91761-2973
Phone Number
909-749-5204
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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