Organization
CAREONE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AGATHA CHIAKA EWENIKE (ADMINISTRATOR)
(240) 441-3654
Entity
Organization
Contact information
Practice address
5203 CORNELIAS PROSPECT DR, BOWIE, MD 20720-3376
(240) 441-3654
Mailing address
5203 CORNELIAS PROSPECT DR, BOWIE, MD 20720-3376
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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