Provider Demographics
NPI:1326091620
Name:MAKLER, SHEILA JUDITH (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:JUDITH
Last Name:MAKLER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-5815
Mailing Address - Country:US
Mailing Address - Phone:919-518-0871
Mailing Address - Fax:919-489-7771
Practice Address - Street 1:3602 TRAIL 23
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707
Practice Address - Country:US
Practice Address - Phone:919-489-7771
Practice Address - Fax:919-489-7771
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC993237174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7301333Medicaid
NC134K6OtherBCBS