Provider Demographics
NPI:1033422738
Name:SHLAES, LOREN ANNE (OTR/L, CTAT)
Entity Type:Individual
Prefix:MS
First Name:LOREN
Middle Name:ANNE
Last Name:SHLAES
Suffix:
Gender:F
Credentials:OTR/L, CTAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 W 14TH ST STE 307
Mailing Address - Street 2:NEW YORK
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7405
Mailing Address - Country:US
Mailing Address - Phone:212-923-2860
Mailing Address - Fax:212-414-2777
Practice Address - Street 1:39 W 14TH ST
Practice Address - Street 2:#307
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7489
Practice Address - Country:US
Practice Address - Phone:212-414-2777
Practice Address - Fax:212-414-2777
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY06333-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics