Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 02334 | MD |
NPI | 1902140759 |
---|---|
Provider Name | Mrs. Leeann Janaskie |
First Address | Urbana, MD 21704-7804 |
Second Address | Frederick, MD 21702-4503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2012 |
Last Update Date | 18/11/2012 |