Provider Demographics
NPI:1447885082
Name:SHAPIRO, MICHELE (OT)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6302 IVYMOUNT RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3306
Mailing Address - Country:US
Mailing Address - Phone:410-218-8837
Mailing Address - Fax:
Practice Address - Street 1:6302 IVYMOUNT RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3306
Practice Address - Country:US
Practice Address - Phone:410-218-8837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty