Individual
NINA MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6710 MALLERY DR, LANHAM, MD 20706-3964
(301) 552-2000
Mailing address
5720 64TH PL, RIVERDALE, MD 20737-2525
(301) 779-1195
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02961
MD
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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