Basic Information
Provider Information
NPI: 1700143922
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHEINER
FirstName: LISA
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2931 E BIDDLE ST
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212133939
CountryCode: US
TelephoneNumber: 4439231886
FaxNumber: 4439231875
Practice Location
Address1: 707 N BROADWAY
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212051832
CountryCode: US
TelephoneNumber: 4439239200
FaxNumber: 4439231875
Other Information
ProviderEnumerationDate: 04/12/2012
LastUpdateDate: 09/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X06840MDY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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