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Contact Information

JAYSHREE SURA, M.A
9708 HARBIN CT
ELLICOTT CITY, MD21042
 Phone: 410-493-1032
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JAYSHREE SURA · (Female)

NPI # 1063760718
Status Active
Credentials M.A
Entity Individual
Enumeration date 08/28/2012
Last updated 08/28/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 03015
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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