Individual
NATHAN MACCOSBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1330 MASSACHUSETTS AVE NW, WASHINGTON, DC 20005-4155
(202) 347-6473
Mailing address
1348 IRVING ST NW, WASHINGTON, DC 20010-2314
(919) 485-9612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010000843
DC
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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