Basic Information
Provider Information
NPI: 1780020321
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TODARO
FirstName: JULIA
MiddleName: ANNE-MARIE
NamePrefix: MRS.
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1120 SKYWAY DR
Address2:  
City: ANNAPOLIS
State: MD
PostalCode: 214094922
CountryCode: US
TelephoneNumber: 4439499805
FaxNumber:  
Practice Location
Address1: 7310 RITCHIE HWY
Address2:  
City: GLEN BURNIE
State: MD
PostalCode: 210613065
CountryCode: US
TelephoneNumber: 4437491300
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/21/2013
LastUpdateDate: 05/21/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X02549MDY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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