Individual
SHAE MCKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
14366 SOMMERVILLE CT, MIDLOTHIAN, VA 23113-6838
(804) 601-6010
(804) 601-4774
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008828
VA
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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