Individual
ERIC DANIEL SHIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2300 DULANEY VALLEY RD RM 229, TIMONIUM, MD 21093-2700
(410) 252-4500
Mailing address
103 6TH AVE, BROOKLYN PARK, MD 21225-2736
(443) 605-2448
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A03138
MD
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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