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NPI Code Detail

MEDICARE: RUTH ANNE FAIERSTEIN COTA/L

MEDICARE: RUTH ANNE FAIERSTEIN COTA/L
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
1224Z00000XOccupational Therapy AssistantA00826MD

General Provider Information

NPI Number : 1275891574
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH ANNE FAIERSTEIN COTA/L
Provider Business Mailing Address
First Line : 3701 INTERNATIONAL DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-1556
Country : US
Telephone Number : 301-598-2900
Fax Number :
Provider Business Practice Location Address
First Line : 3701 INTERNATIONAL DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-1556
Country : US
Telephone Number : 301-598-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2012
Last Update Date : 04/25/2012

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