MS. Mary J Modderman, OTR

NPI #1912124298 in Lanham, Maryland

Provider Information

NPI Number: 1912124298
Entity Type: Individual
Name: MS. Mary J Modderman, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: OTR
Enumeration Date: Apr 19, 2007
Last Updated: Mar 12, 2025

Practice Location

Address: HIGH ROAD LOWER SCHOOL
Address 2: 9701 PHILADELPHIA CT.
City: Lanham
State: Maryland
ZIP Code: 20706
Phone: (301) 567-8494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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