Individual provider · Type 1 NPI

Elissa Katherine Dzambasow, OTR/L

Occupational Therapist · Baltimore, MD

NPI number 1558061820 Active

Practice location

1750 E Fairmount Ave
Baltimore, MD 21231-1534

Mailing address

815 Bynum View Ct
Abingdon, MD 21009-3024

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X09906 (MD)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1558061820

Elissa Katherine Dzambasow, OTR/L's National Provider Identifier is 1558061820, issued on Mar 6, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Baltimore, MD. The record was last updated on Mar 6, 2023.