Aretha Charlene Ayers, COTA
Individual provider Active NPI Occupational Therapy Assistant · Centreville, MD
NPI 1144347147 · NPPES record last updated Aug 19, 2014
Key facts
- NPI
- 1144347147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- A01603 (MD)
- Practice address
- 205 Armstrong St
Centreville, MD 21617-2125 - Phone
- (410) 758-2323
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U20000986 | DE | MD | Occupational Therapy Assistant |
| A01603 | MD | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A01603 | MD | Yes |
| Occupational Therapy Assistant | 224Z00000X | U20000986 | DE |
Addresses
Primary practice location
205 Armstrong St
Centreville, MD 21617-2125
Mailing address
11244 Jordan Ave
Bridgeville, DE 19933-4077
Phone (302) 337-8992
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All providers in Centreville, MD · Occupational Therapy Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.