Jennifer McNamara
Individual provider Active NPI Occupational Therapist · Crofton, MD
NPI 1962058800 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1962058800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 07360 (MD)
- Practice address
- 2131 Davidsonville Rd
Crofton, MD 21114-1632 - Phone
- (410) 721-1000
- NPI assigned
- Aug 15, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07360 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 07360 | MD | Yes |
Addresses
Primary practice location
2131 Davidsonville Rd
Crofton, MD 21114-1632
Mailing address
7212 S Osborne Rd
Upper Marlboro, MD 20772-4206
Phone (301) 642-0262
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a |
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All providers in Crofton, 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 15, 2019. 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.