Individual
MS. TANYA DEKONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., O.T./LICENSED
Contact information
Practice address
7407 BUFFALO AVE, TAKOMA PARK, MD 20912-4125
(301) 585-0926
Mailing address
7407 BUFFALO AVENUE, TAKOMA PARK, MD 20912-4125
(301) 585-0926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119002795
VA
225X00000X
Occupational Therapist
Primary
04317
MD
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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