Provider Demographics
NPI:1508029869
Name:JOSHI, DIPTI S (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:DIPTI
Middle Name:S
Last Name:JOSHI
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6468 MACBETH WAY
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6406
Mailing Address - Country:US
Mailing Address - Phone:410-552-3914
Mailing Address - Fax:
Practice Address - Street 1:1442 BUCKHORN ROAD
Practice Address - Street 2:BRINTON WOODS NURSING AND REHAB
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784
Practice Address - Country:US
Practice Address - Phone:410-795-2737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02953225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist