Individual
DEBORAH OSEREFUARE EHIZIBUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6710 MALLERY DR, LANHAM, MD 20706-3964
(440) 529-7889
Mailing address
6710 MALLERY DR, LANHAM, MD 20706-3964
(440) 529-7889
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A03331
MD
224Z00000X
Occupational Therapy Assistant
Primary
OTA008529
OH
Other
Enumeration date
10/26/2023
Last updated
06/30/2026
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