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NPI Code Detail

MEDICARE: LYNA KADI VANJAH

MEDICARE:   LYNA KADI VANJAH
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 Therapist06684MD

General Provider Information

NPI Number : 1356608194
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNA KADI VANJAH
Provider Business Mailing Address
First Line : 8034 ALLOWAY LN
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-6323
Country : US
Telephone Number : 240-688-7346
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 : 240-688-7346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2012
Last Update Date : 04/18/2012

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Directions to “ LYNA KADI VANJAH ” Practice Location

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