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NPI Code Detail

MEDICARE: ANDREW HWANG OTR/L

MEDICARE: ANDREW HWANG OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist09615MD
2225X00000XOccupational Therapist09615MD

General Provider Information

NPI Number : 1447993886
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW HWANG OTR/L
Provider Business Mailing Address
First Line : 10538 DORCHESTER WAY
Second Line :
City : WOODSTOCK
State : MD
Zip : 21163-1383
Country : US
Telephone Number : 410-794-6181
Fax Number :
Provider Business Practice Location Address
First Line : 12520 PROSPERITY DR STE 220
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-1660
Country : US
Telephone Number : 301-869-7505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2022
Last Update Date : 04/14/2022

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