Provider Demographics
NPI:1851474464
Name:MAAHS, MICHELE A (OTR L)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:A
Last Name:MAAHS
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:A
Other - Last Name:BECK SIMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR L
Mailing Address - Street 1:425 VALLEY BROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-9113
Mailing Address - Country:US
Mailing Address - Phone:302-235-1135
Mailing Address - Fax:302-235-1135
Practice Address - Street 1:425 VALLEY BROOK DR
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-9113
Practice Address - Country:US
Practice Address - Phone:302-235-1135
Practice Address - Fax:302-235-1135
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEU1-0000311225X00000X
PAOC001631L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist