Provider Demographics
NPI:1790801504
Name:RAFEEDIE, SAMIA H (OTD, MA, OTR-L)
Entity Type:Individual
Prefix:DR
First Name:SAMIA
Middle Name:H
Last Name:RAFEEDIE
Suffix:
Gender:F
Credentials:OTD, MA, OTR-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 CARROLL AVE
Mailing Address - Street 2:UNIT 5200
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6367
Mailing Address - Country:US
Mailing Address - Phone:301-891-5560
Mailing Address - Fax:301-891-6326
Practice Address - Street 1:7600 CARROLL AVE
Practice Address - Street 2:UNIT 5200
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6367
Practice Address - Country:US
Practice Address - Phone:301-891-5560
Practice Address - Fax:301-891-6326
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05679225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist