Provider Demographics
NPI:1508379157
Name:SILFEE, MEGAN RACHAEL (COTA/L)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:RACHAEL
Last Name:SILFEE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43174 AMBERLEIGH FARM DR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-7515
Mailing Address - Country:US
Mailing Address - Phone:215-896-7692
Mailing Address - Fax:
Practice Address - Street 1:9545 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1438
Practice Address - Country:US
Practice Address - Phone:301-588-8048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA02523224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant