Provider Demographics
NPI:1083133755
Name:PICARD, SHIRA G (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SHIRA
Middle Name:G
Last Name:PICARD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ASHCROFT RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-1413
Mailing Address - Country:US
Mailing Address - Phone:781-956-0161
Mailing Address - Fax:
Practice Address - Street 1:7 ASHCROFT RD
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-1413
Practice Address - Country:US
Practice Address - Phone:781-784-0858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-14
Last Update Date:2017-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6793225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist