Provider Demographics
NPI:1295290682
Name:SAYLOR, LYDIA LOUISE (MSOT)
Entity type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:LOUISE
Last Name:SAYLOR
Suffix:
Gender:F
Credentials:MSOT
Other - Prefix:
Other - First Name:LYDIA
Other - Middle Name:LOUISE
Other - Last Name:FLECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8300 BURDETTE RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-2801
Mailing Address - Country:US
Mailing Address - Phone:301-968-1800
Mailing Address - Fax:
Practice Address - Street 1:8300 BURDETTE RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-2801
Practice Address - Country:US
Practice Address - Phone:301-968-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-10
Last Update Date:2019-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08662225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist