Provider Demographics
NPI:1831469287
Name:EDWARDS, DORA (MS, OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:DORA
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6735 NEW HAMPSHIRE AVE
Mailing Address - Street 2:304
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4865
Mailing Address - Country:US
Mailing Address - Phone:202-465-6253
Mailing Address - Fax:
Practice Address - Street 1:6735 NEW HAMPSHIRE AVE
Practice Address - Street 2:304
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4865
Practice Address - Country:US
Practice Address - Phone:202-465-6253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist