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NPI Code Detail

MEDICARE: ANGELA ROBERTSON M.S., OTR/L

MEDICARE:   ANGELA  ROBERTSON  M.S., OTR/L
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 Therapist08725MD

General Provider Information

NPI Number : 1821645144
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA ROBERTSON M.S., OTR/L
Provider Business Mailing Address
First Line : 101 W RIDGELY RD STE 8A
Second Line :
City : LUTHERVILLE
State : MD
Zip : 21093-5124
Country : US
Telephone Number : 443-367-1333
Fax Number :
Provider Business Practice Location Address
First Line : 6901 N CHARLES ST
Second Line :
City : TOWSON
State : MD
Zip : 21204-3780
Country : US
Telephone Number : 667-290-4905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2019
Last Update Date : 10/09/2022

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Directions to “ ANGELA ROBERTSON M.S., OTR/L” Practice Location

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