Individual
MR. JONATHAN ISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
301 RUSSELL AVE, GAITHERSBURG, MD 20877-2807
(301) 216-4248
Mailing address
13816 IVYWOOD LN, SILVER SPRING, MD 20904-5470
(202) 308-8588
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06808
MD
Other
Enumeration date
04/09/2013
Last updated
03/07/2019
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