Individual
TASIE NWACHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6840 FREEPORT ST, HYATTSVILLE, MD 20784-1504
(240) 595-5135
Mailing address
6840 FREEPORT ST, HYATTSVILLE, MD 20784-1504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08387
MD
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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