Provider Demographics
NPI:1194888313
Name:SHEU, SHANGMIAW LIN
Entity type:Individual
Prefix:
First Name:SHANGMIAW
Middle Name:LIN
Last Name:SHEU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 S GARFIELD AVE
Mailing Address - Street 2:SUITE #203
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4713
Mailing Address - Country:US
Mailing Address - Phone:626-284-6888
Mailing Address - Fax:626-289-5686
Practice Address - Street 1:1118 S GARFIELD AVE
Practice Address - Street 2:SUITE #203
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4713
Practice Address - Country:US
Practice Address - Phone:626-284-6888
Practice Address - Fax:626-289-5686
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT5510225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics