Ho Chang Han
Individual provider Active NPI Massage Therapist · North Potomac, MD
NPI 1225450554 · NPPES record last updated Jan 6, 2014
Key facts
- NPI
- 1225450554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0019009414 (VA)
- Practice address
- 11129 Captains Walk CT
North Potomac, MD 20878-4224 - Phone
- (240) 505-7704
- NPI assigned
- Jan 6, 2014
- Sex
- Male
- 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 |
|---|---|---|---|
| R01602 | MD | MD | Massage Therapist |
| 0019009414 | VA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019009414 | VA | Yes |
| Massage Therapist | 225700000X | R01602 | MD |
Addresses
Primary practice location
11129 Captains Walk CT
North Potomac, MD 20878-4224
Mailing address
11129 Captains Walk CT
North Potomac, MD 20878-4224
Phone (240) 505-7704
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- Andrea Meri Golden
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- Carolyn Joan Harrington
- Charles C Harrington
- Mark Jan Harrison
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All providers in North Potomac, MD · Massage Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 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.