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Individual

MRS. JANET HARGROVE RYCZKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
9975 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3316
(301) 738-9691
Mailing address
3045 CHICKWEED PL, IJAMSVILLE, MD 21754-9303

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
04508
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04508
MD STATE OCCUPATIONAL THERAPY LICENSE
MD
Enumeration date
03/18/2009
Last updated
03/18/2009
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