Individual
CHRISTA JOAN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
492 MASSACHUSETTS AVE, APT 21, BOSTON, MA 02118-1150
(508) 280-8479
Mailing address
492 MASSACHUSETTS AVE, APT 21, BOSTON, MA 02118-1150
(508) 280-8479
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10152
MA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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