Individual
MS. NIKYA YADIRA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 JORDON POND LN, BOWIE, MD 20721-7258
(301) 646-6773
(301) 249-9161
Mailing address
417 JORDON POND LN, BOWIE, MD 20721-7258
(301) 646-6773
(301) 249-9161
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT100000018
DC
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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