Individual
MELANIE SHADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 GLENBURN AVE, CAMBRIDGE, MD 21613
(410) 221-1400
Mailing address
1902 HORNS POINT RD, CAMBRIDGE, MD 21613-3366
(443) 988-8203
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
06770
MD
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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