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NPI Code Detail

MEDICARE: ROXANN KYDD CAZARES OTR

MEDICARE: ROXANN KYDD CAZARES 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
1225X00000XOccupational Therapist07036MD

General Provider Information

NPI Number : 1285115626
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANN KYDD CAZARES OTR
Provider Business Mailing Address
First Line : 12021 LIVINGSTON RD
Second Line :
City : FT WASHINGTON
State : MD
Zip : 20744-4210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12021 LIVINGSTON RD
Second Line :
City : FT WASHINGTON
State : MD
Zip : 20744-4210
Country : US
Telephone Number : 301-292-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 08/23/2018

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Directions to “ ROXANN KYDD CAZARES OTR” Practice Location

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