Individual
SHIRA GEWIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
115 SUDBROOK LN, PIKESVILLE, MD 21208-4130
(410) 358-1997
Mailing address
3123 BANCROFT RD APT B, BALTIMORE, MD 21215-3194
(240) 476-9545
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08789
MD
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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