Healthcare Provider Details

I. General information

NPI: 1457965337
Provider Name (Legal Business Name): TAURIANA JMIA RAGIN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2020
Last Update Date: 03/03/2024
Certification Date: 03/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 BUCHANAN ST NE
WASHINGTON DC
20017-2340
US

IV. Provider business mailing address

4034 PATRIOT RIDGE CT
RALEIGH NC
27610-6445
US

V. Phone/Fax

Practice location:
  • Phone: 202-854-7100
  • Fax:
Mailing address:
  • Phone: 919-771-5754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT210002239
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: