Provider Demographics
NPI:1821860875
Name:BURROWS, NIYA LAURYN
Entity Type:Individual
Prefix:
First Name:NIYA
Middle Name:LAURYN
Last Name:BURROWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8220 ASHFORD BLVD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-3769
Mailing Address - Country:US
Mailing Address - Phone:301-852-4140
Mailing Address - Fax:
Practice Address - Street 1:8220 ASHFORD BLVD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-3769
Practice Address - Country:US
Practice Address - Phone:301-852-4140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer