Provider Demographics
NPI:1306882105
Name:SHIELDS, KAREN (OTR/L, CHT)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:SHIELDS
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 KOSCIUSZKO ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1608
Mailing Address - Country:US
Mailing Address - Phone:603-668-1106
Mailing Address - Fax:603-668-6533
Practice Address - Street 1:28 COMMERCIAL STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-225-5132
Practice Address - Fax:603-225-6061
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0141225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist