Healthcare Provider Details

I. General information

NPI: 1952217283
Provider Name (Legal Business Name): ANI BENE BOGHOSSIAN-JAMES OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6710 MALLERY DR
LANHAM MD
20706-3964
US

IV. Provider business mailing address

301 SPRING BANK WAY
FREDERICK MD
21701-3055
US

V. Phone/Fax

Practice location:
  • Phone: 301-552-2000
  • Fax:
Mailing address:
  • Phone: 240-409-8338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number10844
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: