Individual
TARA L LEWERENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1401 ROCKVILLE PIKE, ROCKVILLE, MD 20852-1428
(240) 688-9417
Mailing address
15428 PEACH LEAF DR, NORTH POTOMAC, MD 20878-2345
(240) 688-9417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04002
MD
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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