Provider Demographics
NPI:1831983444
Name:PAPPAS-SANDONAS, MARY C (MS, C-IAYT, CIYT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:C
Last Name:PAPPAS-SANDONAS
Suffix:
Gender:
Credentials:MS, C-IAYT, CIYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10895 DEBORAH DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2716
Mailing Address - Country:US
Mailing Address - Phone:301-873-0466
Mailing Address - Fax:
Practice Address - Street 1:10895 DEBORAH DR
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-2716
Practice Address - Country:US
Practice Address - Phone:301-873-0466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25913120225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist