Individual
DOLORES E SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
125 BALDWIN PLACE RD, MAHOPAC, NY 10541-2226
(845) 628-2280
Mailing address
12 KASHMIR CT, CARMEL, NY 10512-4427
(914) 882-3547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005712-1
NY
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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