MEDICARE: MR. DAVID CHRISTIAN SHIELDS OT, CHT, COMT-UL

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
1	225XH1200X	Hand Occupational Therapist	46TR00242000	NJ

General Provider Information

NPI Number	:	1548224603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID CHRISTIAN SHIELDS OT, CHT, COMT-UL

Provider Business Mailing Address
First Line	:	1000 WHITE HORSE RD STE 608
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-4412
Country	:	US
Telephone Number	:	856-435-6332
Fax Number	:	856-435-6174

Provider Business Practice Location Address
First Line	:	1000 WHITE HORSE RD STE 608
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-4412
Country	:	US
Telephone Number	:	856-435-6332
Fax Number	:	856-435-6174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	02/16/2026

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