Shore Strong Pediatric Therapy and Wellness
Organization Active NPI Occupational Therapist · Queen Anne, MD
NPI 1104407113 · NPPES record last updated Apr 20, 2021
Key facts
- NPI
- 1104407113
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- SHORE STRONG PEDIATRIC THERAPY AND WELLNESS
- Practice address
- 204 Three Pines Rd
Queen Anne, MD 21657-1858 - Phone
- (516) 236-4642
- NPI assigned
- Apr 20, 2021
- Organization subpart
- No
Authorized official
- Name
- Danielle Jean Santiago
- Title
- Otr/L
- Phone
- (516) 236-4642
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
204 Three Pines Rd
Queen Anne, MD 21657-1858
Mailing address
204 Three Pines Rd
Queen Anne, MD 21657-1858
Phone (516) 236-4642
Other providers in Queen Anne, MD
All providers in Queen Anne, MD · Occupational Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.