Individual
KALI OLIVER SHORTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 HAMMONDS LN, BROOKLYN PARK, MD 21225-3351
(410) 636-3400
Mailing address
1620 NW 1ST AVE, POMPANO BEACH, FL 33060-5206
(954) 536-3846
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A03055
MD
224Z00000X
Occupational Therapy Assistant
Primary
OTA17606
FL
Other
Enumeration date
04/14/2022
Last updated
04/26/2022
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