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NPI Code Detail

MEDICARE: FIONA NOLAN

MEDICARE: FIONA NOLAN
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 Therapist05604

General Provider Information

NPI Number : 1386276806
Entity Type Code : Individual
Provider Name (Legal Business Name) : FIONA NOLAN
Provider Business Mailing Address
First Line : 2606 MCCOMAS AVE
Second Line :
City : KENSINGTON
State : MD
Zip : 20895-2825
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11901 GEORGIA AVE
Second Line :
City : WHEATON
State : MD
Zip : 20902-2001
Country : US
Telephone Number : 301-942-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2020
Last Update Date : 02/12/2020

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Directions to “ FIONA NOLAN ” Practice Location

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