Provider Demographics
NPI:1073722351
Name:EPPS, ALIA BLAND (OTR)
Entity Type:Individual
Prefix:MS
First Name:ALIA
Middle Name:BLAND
Last Name:EPPS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:ALIA
Other - Middle Name:
Other - Last Name:BLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:903 JENNINGS MILL DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-6224
Mailing Address - Country:US
Mailing Address - Phone:240-832-4959
Mailing Address - Fax:
Practice Address - Street 1:903 JENNINGS MILL DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-6224
Practice Address - Country:US
Practice Address - Phone:240-832-4959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOT824225X00000X
MD03925225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist