Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | A02521 | MD |
NPI | 1013435841 |
---|---|
Provider Name | Allison Nasteff |
First Address | Frederick, MD 21702-4314 |
Second Address | Frederick, MD 21701-6711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2017 |
Last Update Date | 26/03/2018 |