Provider Demographics
NPI:1639997059
Name:NYCE, SOPHIE (OT)
Entity type:Individual
Prefix:
First Name:SOPHIE
Middle Name:
Last Name:NYCE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:SOPHIE
Other - Middle Name:
Other - Last Name:HANENFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:659 S SALISBURY BLVD STE 1B
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5458
Mailing Address - Country:US
Mailing Address - Phone:410-831-3226
Mailing Address - Fax:410-572-4041
Practice Address - Street 1:659 S SALISBURY BLVD STE 1B
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5458
Practice Address - Country:US
Practice Address - Phone:410-677-0700
Practice Address - Fax:410-677-0883
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist