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NPI Code Detail

MEDICARE: JASMINE ATCHISON

MEDICARE:   JASMINE  ATCHISON
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 Therapist08454MD

General Provider Information

NPI Number : 1689155525
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE ATCHISON
Provider Business Mailing Address
First Line : 6705 MESQUITE CT
Second Line :
City : DISTRICT HEIGHTS
State : MD
Zip : 20747-5128
Country : US
Telephone Number : 845-649-0123
Fax Number :
Provider Business Practice Location Address
First Line : 9211 STUART LN
Second Line :
City : CLINTON
State : MD
Zip : 20735-2712
Country : US
Telephone Number : 301-868-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 08/15/2022

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Directions to “ JASMINE ATCHISON ” Practice Location

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