Individual
KATHRYN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 LANCASTER AVE, PHILADELPHIA, PA 19104-4964
(215) 662-0397
Mailing address
3400 LANCASTER AVE, PHILADELPHIA, PA 19104-4964
(215) 662-0397
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC020697
PA
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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