Organization
ATAAM HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MODUPE GIWA (ADMINISTRATOR, CEO)
(856) 313-0646
Entity
Organization
Contact information
Practice address
1515 MARTIN BLVD STE 208, MIDDLE RIVER, MD 21220-4103
(410) 374-7748
(443) 559-6195
Mailing address
1515 MARTIN BLVD STE 208, MIDDLE RIVER, MD 21220-4103
(410) 374-7748
(443) 559-6195
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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