Healthcare Provider Details

I. General information

NPI: 1518703719
Provider Name (Legal Business Name): SHORELINE THERAPIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2024
Last Update Date: 07/08/2024
Certification Date: 07/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

748 TIFFANY DR
GAITHERSBURG MD
20878-1821
US

IV. Provider business mailing address

748 TIFFANY DR
GAITHERSBURG MD
20878-1821
US

V. Phone/Fax

Practice location:
  • Phone: 301-538-2460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: EMILY SCHEINER
Title or Position: CO-OWNER, OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 301-538-2460