Provider Demographics
NPI:1023468048
Name:STEINBERG, SHANE FOSTER (OTR/L)
Entity type:Individual
Prefix:
First Name:SHANE
Middle Name:FOSTER
Last Name:STEINBERG
Suffix:
Gender:M
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 1:14920 CHESTNUT RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2421
Mailing Address - Country:US
Mailing Address - Phone:301-520-8243
Mailing Address - Fax:
Practice Address - Street 1:14920 CHESTNUT RIDGE CT
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-2421
Practice Address - Country:US
Practice Address - Phone:301-520-8243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist