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NPI Code Detail

MEDICARE: MRS. HEATHER SHIPLEY MSOT, OTR/L

MEDICARE: MRS. HEATHER SHIPLEY MSOT, 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 Therapist07656MD

General Provider Information

NPI Number : 1366836827
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER SHIPLEY MSOT, OTR/L
Provider Business Mailing Address
First Line : 1221 WAUGH CHAPEL RD
Second Line :
City : GAMBRILLS
State : MD
Zip : 21054-1608
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1221 WAUGH CHAPEL RD
Second Line :
City : GAMBRILLS
State : MD
Zip : 21054-1608
Country : US
Telephone Number : 410-923-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2015
Last Update Date : 03/23/2015

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Directions to “ MRS. HEATHER SHIPLEY MSOT, OTR/L” Practice Location

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