Individual
GAYATRI MODAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
257 CONGRESSIONAL LN, ROCKVILLE, MD 20852-1564
(323) 830-1656
Mailing address
257 CONGRESSIONAL LN, ROCKVILLE, MD 20852-1564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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