Healthcare Provider Details

I. General information

NPI: 1609076306
Provider Name (Legal Business Name): NEEPA SHAH OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2007
Last Update Date: 07/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 IRVING ST NW
WASHINGTON DC
20010-2921
US

IV. Provider business mailing address

6410 ROCKLEDGE DR NRH REGIONAL REHAB - SUITE 600
BETHESDA MD
20817-1809
US

V. Phone/Fax

Practice location:
  • Phone: 301-581-8051
  • Fax: 301-581-8031
Mailing address:
  • Phone: 301-581-8051
  • Fax: 301-581-8031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT865
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: