Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Shira Immamalee, OTR/L

Individual provider Occupational Therapist · NPI 1194091082

Miss. Shira Immamalee, OTR/L is an Occupational Therapist in Jamaica, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

17105 137th Ave
Jamaica, NY 11434-4521
Phone: (718) 528-7874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 007614-1 (NY)

Record details

NPI number1194091082
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMarch 26, 2012
Last updated in NPPESMarch 26, 2012

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