Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 2010006917 | MO |
NPI | 1588091284 |
---|---|
Provider Name | Dr. Muzna Ahmed |
First Address | Fort Belvoir, VA 22060-5509 |
Second Address | Fort Belvoir, VA 22060-5509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2013 |
Last Update Date | 23/04/2015 |