Striations Fitness Sports Medicine and Occupational Therapy, LLC

NPI #1376853838 in Timonium, Maryland

Provider Information

NPI Number: 1376853838
Entity Type: Organization
Organization Name: Striations Fitness Sports Medicine and Occupational Therapy, LLC
Primary Specialty: Occupational Therapist - Physical Rehabilitation
Enumeration Date: Oct 18, 2010
Last Updated: Dec 13, 2010

Practice Location

Address: 29 GREENMEADOW DR
City: Timonium
State: Maryland
ZIP Code: 21093-3256
Phone: (410) 823-0870

Authorized Official

Name: MR. RANDALL SHAWN WATKINS SR., OTR/L, ATC, NSCA-CPT
Title: PRESIDENT/OCCUPATIONAL THERAPIST
Phone: (443) 850-1447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Physical Rehabilitation — Physical Rehabilitation	225XP0019X	Primary

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