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Individual

TANESHA NICOLE SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1200 1ST ST NE FL 9, WASHINGTON, DC 20002-7953
(202) 727-6196
Mailing address
1200 1ST ST NE FL 9, WASHINGTON, DC 20002-7953

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010000636
DC

Other

Enumeration date
04/18/2016
Last updated
11/01/2019
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