Individual
DANIEL SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 FALLSWAY, BALTIMORE, MD 21202-4800
(443) 703-1135
(410) 837-8020
Mailing address
421 FALLSWAY, BALTIMORE, MD 21202-4800
(443) 703-1135
(410) 837-8020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08295
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383841200
—
MD
Enumeration date
07/12/2018
Last updated
08/13/2021
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