Provider Demographics
NPI:1245476746
Name:CADY, TAWNYA LINN (COTA/L)
Entity type:Individual
Prefix:MS
First Name:TAWNYA
Middle Name:LINN
Last Name:CADY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MS
Other - First Name:TAWNYA
Other - Middle Name:LINN
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:1014 OLD WILSON RD
Mailing Address - Street 2:
Mailing Address - City:SWANTON
Mailing Address - State:MD
Mailing Address - Zip Code:21561-1041
Mailing Address - Country:US
Mailing Address - Phone:301-334-8206
Mailing Address - Fax:
Practice Address - Street 1:1 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-9357
Practice Address - Country:US
Practice Address - Phone:877-480-7759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00638224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant