MEDICARE: OUT CAME THE SUN FOUNDATION, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist
4	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1477757755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUT CAME THE SUN FOUNDATION, INC

Provider Business Mailing Address
First Line	:	PO BOX 1687
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20849-1687
Country	:	US
Telephone Number	:	301-649-7170
Fax Number	:	301-260-8487

Provider Business Practice Location Address
First Line	:	7 SAINT PAUL ST
Second Line	:	SUITE 1660
City	:	BALTIMORE
State	:	MD
Zip	:	21202-1626
Country	:	US
Telephone Number	:	301-649-7170
Fax Number	:	301-260-8487

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	LORI ANN AYANIAN MADHOK
Credential	:
Telephone Number	:	301-649-7170

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	12/13/2010

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Directions to “OUT CAME THE SUN FOUNDATION, INC ” Practice Location

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