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Individual

MS. SONDRA SHOSHANA SHAMBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3309 W STRATHMORE AVE, BALTIMORE, MD 21215-3718
(410) 358-7269
Mailing address
3309 W STRATHMORE AVE, BALTIMORE, MD 21215-3718
(410) 358-7269

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
02426
MD
225X00000X
Occupational Therapist
Primary
02426
MD
225XE1200X
Ergonomics Occupational Therapist
02426
MD
225XH1300X
Human Factors Occupational Therapist
02426
MD
225XN1300X
Neurorehabilitation Occupational Therapist
02426
MD
225XP0200X
Pediatric Occupational Therapist
02426
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
521749043
DORS
MD
05
647758500
MD
01
J776
BCBS
MD
Enumeration date
04/08/2007
Last updated
06/17/2020
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