Provider Demographics
NPI:1750046835
Name:CHEN, ANGELLA (OTD)
Entity Type:Individual
Prefix:
First Name:ANGELLA
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19851 OBSERVATION DR STE 450
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-4148
Mailing Address - Country:US
Mailing Address - Phone:301-977-6777
Mailing Address - Fax:301-977-0108
Practice Address - Street 1:19851 OBSERVATION DR STE 450
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4148
Practice Address - Country:US
Practice Address - Phone:301-977-6777
Practice Address - Fax:301-977-0108
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC200001249225X00000X
MD09480225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist