Most Relevant Information
Provider Data
| NPI Number: | 1003398116 |
| Provider Name: | SHANLI LATULIP |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/05/2018 |
| Last Updated: | 08/20/2019 |
Provider Practice Location
3767 DELAWARE AVE
KENMORE
NY
142171040
Practice Location Phone/Fax
| Phone: | 7168746175 |
| Fax: |
Provider Mailing Location
3767 DELAWARE AVE
KENMORE
NY
142171040
Provider Mailing Phone/Fax
| Phone: | 7168746175 |
| Fax: |