NPI Code Details Logo

NPI 1346813748

NPI 1346813748 : KENDALL BUSSE VEIGA OTR/L : OWINGS MILLS, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1346813748
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KENDALL BUSSE VEIGA OTR/L
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/22/2021
-----------------------------------------------------
    Last Update Date     |    09/15/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9199 REISTERSTOWN RD STE 101B 
-----------------------------------------------------
    City                 |    OWINGS MILLS
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21117-4513
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    443-898-8160
-----------------------------------------------------
    Fax                  |    443-898-8916
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    12158 CENTRAL AVE 
-----------------------------------------------------
    City                 |    MITCHELLVILLE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20721-1932
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    09344
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.