Individual
SAMANVITA IVATURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1576 MERRITT BLVD STE 7, DUNDALK, MD 21222-2114
(410) 650-2145
Mailing address
35 LEXINGTON RD, MONMOUTH JUNCTION, NJ 08852-3084
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10646
MD
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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