Provider Demographics
NPI:1639733363
Name:SHACHTER, KAREN (OTRL)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SHACHTER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8616 2ND AVE APT 525
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3844
Mailing Address - Country:US
Mailing Address - Phone:201-566-3896
Mailing Address - Fax:
Practice Address - Street 1:12200 TECH RD STE 120
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7871
Practice Address - Country:US
Practice Address - Phone:301-588-3929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-29
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist