Provider Demographics
NPI:1497182919
Name:MOSHINSKY, CARYN MERVIS (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:CARYN
Middle Name:MERVIS
Last Name:MOSHINSKY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11702 OREBAUGH AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2865
Mailing Address - Country:US
Mailing Address - Phone:301-332-6300
Mailing Address - Fax:
Practice Address - Street 1:7800 14TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1464
Practice Address - Country:US
Practice Address - Phone:202-576-6140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-28
Last Update Date:2013-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOT010000746225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics