Johanna Anderson, OTR/L

Individual provider Active NPI Occupational Therapist · Baltimore, MD

NPI 1730646407 · NPPES record last updated Feb 28, 2019

Key facts

NPI
1730646407
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
01492 (MD)
Practice address
9150 Franklin Square Dr
Baltimore, MD 21237-3903
Phone
(443) 809-0422
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 01492 MD Yes

Addresses

Primary practice location

9150 Franklin Square Dr
Baltimore, MD 21237-3903

Mailing address

9150 Franklin Square Dr
Baltimore, MD 21237-3903
Phone (443) 809-0422

Other providers in Baltimore, MD

All providers in Baltimore, MD · Occupational Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.