Provider Demographics
NPI:1053663567
Name:FORBES, SHONA M (OTR, MBA)
Entity Type:Individual
Prefix:
First Name:SHONA
Middle Name:M
Last Name:FORBES
Suffix:
Gender:F
Credentials:OTR, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 7TH ST NW
Mailing Address - Street 2:#1006
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5700
Mailing Address - Country:US
Mailing Address - Phone:202-569-0151
Mailing Address - Fax:
Practice Address - Street 1:777 7TH ST NW
Practice Address - Street 2:#1006
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-5700
Practice Address - Country:US
Practice Address - Phone:202-569-0151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOT010000768225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist