Provider Demographics
NPI:1780984302
Name:PRYOR, HOPE CHASITY (OTRL)
Entity type:Individual
Prefix:MS
First Name:HOPE
Middle Name:CHASITY
Last Name:PRYOR
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 PINE FOREST LN
Mailing Address - Street 2:MD
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1686
Mailing Address - Country:US
Mailing Address - Phone:301-390-3649
Mailing Address - Fax:
Practice Address - Street 1:914 PINE FOREST LN
Practice Address - Street 2:MD
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1686
Practice Address - Country:US
Practice Address - Phone:301-390-3649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05773225X00000X
DCOT010000678225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist