Individual ProviderSmita A ShuklaOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3801 Miranda Ave, Palo Alto, CA 94304-1207(650) 493-5000(650) 961-7060PECOS EnrollmentBased on the most recent information from CMS, provider Smita A Shukla does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1851496970Provider TypeIndividualFull NameShukla, Smita ACredentialOTRGenderFemaleSole ProprietorNoEnumeration Date9/13/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address3801 Miranda Ave, Palo Alto, CA 94304-1207Phone(650) 493-5000FaxUnlisted FaxMailing LocationMailing Address1541 Hollingsworth Dr, Mountain View, CA 94040-2948Phone(650) 961-7060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5995California