Basic Information
Provider Information
NPI: 1316423296
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DIMARCO
FirstName: FRANK
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: OTD
OtherOrganizationName:  
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Mailing Information
Address1: 8811 COLESVILLE RD APT 1126
Address2:  
City: SILVER SPRING
State: MD
PostalCode: 209104338
CountryCode: US
TelephoneNumber: 1914393834
FaxNumber:  
Practice Location
Address1: 5550 TUCKERMAN LN
Address2:  
City: NORTH BETHESDA
State: MD
PostalCode: 208524683
CountryCode: US
TelephoneNumber: 3018978566
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/13/2018
LastUpdateDate: 07/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X08499MDY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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