Individual
JUDITH R SHEILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6414 PARK HEIGHTS AVE APT T1, BALTIMORE, MD 21215-3073
(410) 358-1997
(866) 840-6040
Mailing address
3608 BANCROFT RD, BALTIMORE, MD 21215
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
03286
MD
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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