MEDICARE: ANNE PAGE WHITSON MSOTR/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
1	225X00000X	Occupational Therapist	06447	MD

General Provider Information

NPI Number	:	1841738572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE PAGE WHITSON MSOTR/L

Provider Business Mailing Address
First Line	:	2431 WENTWORTH DR
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-3125
Country	:	US
Telephone Number	:	718-207-5143
Fax Number	:

Provider Business Practice Location Address
First Line	:	2431 WENTWORTH DR
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-3125
Country	:	US
Telephone Number	:	718-207-5143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2017
Last Update Date	:	02/01/2017

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