Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 04531 | MD |
NPI | 1104077619 |
---|---|
Provider Name | Harsh D Shende |
First Address | Columbia, MD 21046-1703 |
Second Address | Baltimore, MD 21209-4424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2008 |
Last Update Date | 02/10/2008 |