MEDICARE: MRS. KARIN ELIZABETH SAUDER OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	03201	MD

General Provider Information

NPI Number	:	1205957545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KARIN ELIZABETH SAUDER OTR

Provider Business Mailing Address
First Line	:	7425 ROSEWOOD MANOR LN
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20882-1246
Country	:	US
Telephone Number	:	301-519-2495
Fax Number	:

Provider Business Practice Location Address
First Line	:	7425 ROSEWOOD MANOR LN
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20882-1246
Country	:	US
Telephone Number	:	301-519-2495
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	06/12/2010

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