=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144627886
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOYCE FARRINGTON M.ED, OTR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/24/2014
-----------------------------------------------------
Last Update Date | 11/24/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5903 BLAND AVE
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21215-3816
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-375-6851
-----------------------------------------------------
Fax | 410-669-1458
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5903 BLAND AVE
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21215-3816
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-375-6851
-----------------------------------------------------
Fax | 410-669-1458
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225XG0600X
-----------------------------------------------------
Taxonomy Name | Gerontology Occupational Therapist
-----------------------------------------------------
License Number | #01220
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------