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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KALI OLIVER SHORTRIDGE

Active Sole Proprietor

KALI OLIVER SHORTRIDGE is a Occupational Therapy Assistant healthcare provider located in BROOKLYN PARK, Maryland. NPI 1811630221 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BROOKLYN PARK, MD

Registration Details

NPI Number
1811630221
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2022 (4.326120120392 yrs)
Last Updated
Apr 26, 2022
Licenses
A03055 (MD)
OTA17606 (FL)
Sole Proprietor
Yes

Practice Information

Address
613 HAMMONDS LN
BROOKLYN PARK, MD, 212253351
Browse MD providers · Browse ZIP 21225
Phone
4106363400
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in BROOKLYN PARK, MD

Name Credential NPI
GLORIA GILLYARD 1609112770
EMILY ATHENA KORNEGAY COTA 1891487013
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.