Individual
TYRA CHRISTINA HEDGEPETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9711 WASHINGTONIAN BLVD, GAITHERSBURG, MD 20878-7365
(410) 609-6357
Mailing address
4656 RIVERSTONE DR APT 204, OWINGS MILLS, MD 21117-6991
(540) 553-1928
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
09588
MD
Other
Enumeration date
06/29/2021
Last updated
02/21/2023
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