Jeffrey Anderson
Individual provider Active NPI Occupational Therapist · Towson, MD
NPI 1922589423 · NPPES record last updated Aug 23, 2018
Key facts
- NPI
- 1922589423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 04744 (MD)
- Practice address
- 1055 W Joppa Rd
Towson, MD 21204-3741 - Phone
- (410) 494-7792
- NPI assigned
- Aug 23, 2018
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04744 | MD | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 04744 | MD | Yes |
Addresses
Primary practice location
1055 W Joppa Rd
Towson, MD 21204-3741
Mailing address
1055 W Joppa Rd
Towson, MD 21204-3741
Other providers in Towson, MD
- Kayla M Amrhein
- Amy L Kopel, LLC
- Saradha Ananthakrishnan
- Anchor Behavioral and Mental Health Services LLC
- Ancient Widom Healing Arts
- Joshua Michael Anderson
- Lauren Emma Anderson
- Samantha Renee Andreaggi
- Crysannia Andrews
- David Nicholas Andrews
All providers in Towson, MD · Occupational 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 Aug 23, 2018. 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.