Individual
AMINTA JOOKE BADIANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9701 VEIRS DR, ROCKVILLE, MD 20850-3414
(301) 424-9560
Mailing address
15417 DEEP BOTTOM RD, GERMANTOWN, MD 20874-3630
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A03125
MD
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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