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NPI Code Detail

MEDICARE: SHALINI DIMPLE OTR/L

MEDICARE: SHALINI DIMPLE OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1225768997
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHALINI DIMPLE OTR/L
Provider Business Mailing Address
First Line : 8313 GOVERNOR RIDGLEY LN
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-3451
Country : US
Telephone Number : 732-986-1486
Fax Number :
Provider Business Practice Location Address
First Line : 5412 OLD COURT RD
Second Line :
City : RANDALLSTOWN
State : MD
Zip : 21133-5104
Country : US
Telephone Number : 410-922-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2022
Last Update Date : 06/14/2022

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