# THERAPELVIC OCCUPATIONAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TheraPelvic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669126041
- **Authorized official:** MRS. DANIELLE SHEA MSOTR/L (OWNER/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (701) 578-5275

## Contact information

- **Practice address:** 2712 CARRINGTON CT, SUNDERLAND, MD 20689-3030
- **Practice address phone:** (701) 578-5275
- **Mailing address:** 2712 CARRINGTON CT, SUNDERLAND, MD 20689-3030
- **Mailing address phone:** (701) 578-5275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2022
- **Last updated:** 02/04/2022