Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 05304 | MD |
NPI | 1003096132 |
---|---|
Provider Name | Kathleen Ann Albert |
First Address | Bethesda, MD 20817-1809 |
Second Address | Bethesda, MD 20817-1809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2007 |
Last Update Date | 06/11/2007 |