Individual
MAURA ANNE STADEM SUILEBHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 L ST NW, SUITE #607, WASHINGTON, DC 20036-5002
(202) 520-7223
Mailing address
219 NORMANDY DR, SILVER SPRING, MD 20901-3116
(202) 744-4833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A02038
MD
224Z00000X
Occupational Therapy Assistant
Primary
OTA100000255
DC
Other
Enumeration date
08/01/2013
Last updated
09/02/2015
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