Susan Diane Stern
Occupational Therapist - Pediatrics
7300 Golden Fern Ct
Elkridge
, Maryland 21075-5946
Susan Diane Stern
Occupational Therapist - Pediatrics
7300 Golden Fern Ct
Elkridge
, Maryland 21075-5946
(301) 570-0348
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Susan Diane Stern
- 3103 Saint Florence Ter
- Olney, MD
- Zip : 20832-1619
- Phone : (301) 570-0348
Second Address
- Susan Diane Stern
- 7300 Golden Fern Ct
- Elkridge, MD
- Zip : 21075-5946
- Fax : (443) 270-8260
- Phone : (410) 796-8499
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 03889 | MD |
National Provider Identifier
| NPI | 1063639953 |
|---|---|
| Provider Name | Susan Diane Stern |
| First Address | Olney, MD 20832-1619 |
| Second Address | Elkridge, MD 21075-5946 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.