Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 07652 | MD |
NPI | 1285089953 |
---|---|
Provider Name | Shira Kahn |
First Address | Lutherville, MD 21093-2778 |
Second Address | Lutherville, MD 21093-2778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2016 |
Last Update Date | 19/07/2019 |