Shameeka Latoya McClain, COTA

Individual provider Active NPI Occupational Therapy Assistant · Cheltenham, MD

NPI 1295070563 · NPPES record last updated Nov 28, 2012

Key facts

NPI
1295070563
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
A01956 (MD)
Practice address
10605 Bailey Dr
Cheltenham, MD 20623-1111
Phone
(301) 448-7382
NPI assigned
Nov 28, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A01956MDMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A01956 MD Yes

Addresses

Primary practice location

10605 Bailey Dr
Cheltenham, MD 20623-1111

Mailing address

10605 Bailey Dr
Cheltenham, MD 20623-1111

Other providers in Cheltenham, MD

All providers in Cheltenham, MD · Occupational Therapy Assistant in Maryland

Sources for this page

Verify at the official NPI Registry.