# WYE OAK HEALTHCARE OF HYATTSVILLE, LLC

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

## Provider details

- **NPI number:** 1851815534
- **Authorized official:** KAREN LITWA (CFO)
- **Authorized official phone:** (484) 731-2500

## Contact information

- **Practice address:** 4922 LASALLE RD, HYATTSVILLE, MD 20782-3302
- **Practice address phone:** (484) 731-2500
- **Practice address fax:** (484) 731-1234
- **Mailing address:** 150 ONIX DR, KENNETT SQUARE, PA 19348-1886
- **Mailing address phone:** (484) 731-2500
- **Mailing address fax:** (484) 731-1234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2017
- **Last updated:** 03/08/2018