# TRISTATE HAND AND OCCUPATIONAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336125566
- **Authorized official:** BRYAN J WODASKI MS OTR L CHT (PRESIDENT)
- **Authorized official phone:** (301) 759-4263

## Contact information

- **Practice address:** 200 GLENN ST, STE 200, CUMBERLAND, MD 21502-2436
- **Practice address phone:** (301) 759-4263
- **Practice address fax:** (301) 759-4461
- **Mailing address:** PO BOX 1517, CUMBERLAND, MD 21501-1517
- **Mailing address phone:** (301) 759-4263
- **Mailing address fax:** (301) 759-4461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2005
- **Last updated:** 09/16/2008