Healthcare Provider Details

I. General information

NPI: 1144627886
Provider Name (Legal Business Name): JOYCE FARRINGTON M.ED, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 11/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5903 BLAND AVE
BALTIMORE MD
21215-3816
US

IV. Provider business mailing address

5903 BLAND AVE
BALTIMORE MD
21215-3816
US

V. Phone/Fax

Practice location:
  • Phone: 410-375-6851
  • Fax: 410-669-1458
Mailing address:
  • Phone: 410-375-6851
  • Fax: 410-669-1458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number#01220
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: