Provider Demographics
NPI:1881682250
Name:TAPOLYAI, BETH (OT)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:TAPOLYAI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:KOZERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:8114 SANDPIPER CIR STE 114
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5901
Mailing Address - Country:US
Mailing Address - Phone:410-933-8459
Mailing Address - Fax:410-933-8712
Practice Address - Street 1:8322 BELLONA AVE STE 100
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-337-8847
Practice Address - Fax:410-337-5189
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2172225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD02172OtherOT LICENSE