Individual
AYANNA DENSON EZEANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12921 NORTHAMPTON DR, BELTSVILLE, MD 20705-6333
(240) 355-1012
Mailing address
12921 NORTHAMPTON DR, BELTSVILLE, MD 20705-6333
(240) 355-1012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT741
DC
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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