Individual
MR. DEVON IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1723 STOURBRIDGE CT, BOWIE, MD 20721-2776
(202) 320-7386
Mailing address
1723 STOURBRIDGE CT, BOWIE, MD 20721-2776
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04997
MD
225X00000X
Occupational Therapist
OT00000149
DC
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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