MEDICARE: DONINE M. SHAFFER

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02855300	OTHER	PA	CAPITAL BLUE CROSS
2	76210	OTHER	PA	HEALTH AMERICA COVENTRY
3	0994637	OTHER	PA	KEYSTONE HEALTH PLAN

General Provider Information

NPI Number	:	1891782108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONINE M. SHAFFER

Provider Business Mailing Address
First Line	:	PO BOX 173132
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33672-1132
Country	:	US
Telephone Number	:	717-877-8811
Fax Number	:	717-918-5745

Provider Business Practice Location Address
First Line	:	850 WALNUT BOTTOM RD
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-3615
Country	:	US
Telephone Number	:	717-877-8811
Fax Number	:	717-918-5745

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. DONINE M SHAFFER
Credential	:	OTR/ L, CHT
Telephone Number	:	717-877-8811

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	06/12/2024

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