Melanie Shade
Occupational Therapist, Physical Rehabilitation in Cambridge, MD. Individual provider (NPI-1).
NPI number1902243264
StatusActive
Last updated in NPPESMay 28, 2013
Details
- NPI
- 1902243264
- Entity type
- Individual (NPI-1)
- Name
- Melanie Shade
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2013
- Last updated
- May 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0019X | Occupational Therapist, Physical Rehabilitation | 06770 | MD | Yes |
Practice location
525 Glenburn AveCambridge, MD 21613
Phone 410-221-1400
Mailing address
1902 Horns Point RdCambridge, MD 21613-3366
Phone 443-988-8203
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