NPI 1376425611

Imbundu Wekulo Charles Namasaka, BSCIFTCPT

Practitioner Respiratory/Developmental/Rehabilitative Specialist/Technologist Ellicott City, MD

Practice location

Address: 3006 John Bernard Dr, Ellicott City, MD 21042-2017
Phone: (415) 225-1260
Mailing address: 8603 Tabb CT, Bowie, MD 20720-4444

Registered specialties (2)

Respiratory/Developmental/Rehabilitative Specialist/Technologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225500000X Licence 748773 (MD)

Other Specialist/Technologist providers in Maryland →

Respiratory/Developmental/Rehabilitative Specialist/Technologist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225500000X Licence 7132154 (WV)

Registry record

NPI: 1376425611
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2025
Record last updated: 26 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.