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Contact Information

ELDORNA SAMUEL, OTD
10000 RUNNING SAND KNL
LAUREL, MD20723-5783
 Phone: 301-641-7035
 Fax: 301-850-7613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ELDORNA SAMUEL · (Female)

NPI Number 1023433646
Status Active
Credentials OTD
Entity Individual
Enumeration date 02/19/2014
Last updated 02/19/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 03803
  • MD Medicaid 510074700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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