Healthcare Provider Details

I. General information

NPI: 1336511773
Provider Name (Legal Business Name): ANNA OGGERI MOTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2015
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15117 MIDDLEGATE RD STE 5
SILVER SPRING MD
20905-5720
US

IV. Provider business mailing address

15117 MIDDLEGATE RD STE 5
SILVER SPRING MD
20905-5720
US

V. Phone/Fax

Practice location:
  • Phone: 203-788-4905
  • Fax:
Mailing address:
  • Phone: 203-788-4905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18443
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6335
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number23645
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number10769
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: