Individual
SREYLEAK SOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1400 FOREST GLEN RD # 225, SILVER SPRING, MD 20910-1459
(240) 766-8881
(240) 766-3763
Mailing address
1400 FOREST GLEN RD # 225, SILVER SPRING, MD 20910-1459
(240) 766-8881
(240) 766-3763
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02737
MD
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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