Healthcare Provider Details

I. General information

NPI: 1689997330
Provider Name (Legal Business Name): ORIT TAL-ATZILI OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2010
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14114 CHELMSFORD RD
ROCKVILLE MD
20853-2017
US

IV. Provider business mailing address

14114 CHELMSFORD RD
ROCKVILLE MD
20853-2017
US

V. Phone/Fax

Practice location:
  • Phone: 240-669-8740
  • Fax:
Mailing address:
  • Phone: 240-669-8740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number06307
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: