Provider Demographics
NPI:1558929000
Name:DORAN, NANCY MARIE PAPA (OTR/L)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:MARIE PAPA
Last Name:DORAN
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 1:2001 N WARWICK AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-3203
Mailing Address - Country:US
Mailing Address - Phone:410-396-0833
Mailing Address - Fax:410-396-0853
Practice Address - Street 1:2001 N WARWICK AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-3203
Practice Address - Country:US
Practice Address - Phone:410-396-0833
Practice Address - Fax:410-396-0853
Is Sole Proprietor?:No
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02817225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist