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NPI Code Detail

MEDICARE: ELIZABETH MARIE ENGLERT OTR/L

MEDICARE: ELIZABETH MARIE ENGLERT 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 Therapist
2225X00000XOccupational Therapist08591MD
3225X00000XOccupational Therapist085091MD

General Provider Information

NPI Number : 1962970731
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MARIE ENGLERT OTR/L
Provider Business Mailing Address
First Line : 22408 HOG CREEK RD
Second Line :
City : PRESTON
State : MD
Zip : 21655-1733
Country : US
Telephone Number : 410-253-1449
Fax Number :
Provider Business Practice Location Address
First Line : 11665 DOOLITTLE DR
Second Line :
City : WALDORF
State : MD
Zip : 20602-2898
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2018
Last Update Date : 05/07/2025

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