Healthcare Provider Details

I. General information

NPI: 1467520940
Provider Name (Legal Business Name): VICTORIA BETTER OTRL,CLT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 ANNAPOLIS RD STE A3&A4
LANHAM MD
20706-2060
US

IV. Provider business mailing address

9500 ANNAPOLIS RD STE A3&A4
LANHAM MD
20706-2060
US

V. Phone/Fax

Practice location:
  • Phone: 301-918-9099
  • Fax: 301-918-9559
Mailing address:
  • Phone: 301-918-9099
  • Fax: 301-918-9559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number03458
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number03458
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number03458
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number03458
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: