Individual
MRS. REBECCA ANN SHIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR-L
Contact information
Practice address
13801 YORK RD, COCKEYSVILLE, MD 21030-1825
(443) 578-8028
Mailing address
14325 CUBA RD, COCKEYSVILLE, MD 21030-1007
(443) 465-0094
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04843
MD
Other
Enumeration date
03/14/2007
Last updated
07/14/2014
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