NPI 1912124298

Mary J Modderman, OTR

Practitioner Specialist Lanham, MD

Practice location

Address: High Road Lower School 9701 Philadelphia CT., Lanham, MD 20706
Phone: (301) 567-8494
Mailing address: 4107 Hamilton St, Hyattsville, MD 20781-1804

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 01236 (MD)

Other Specialist providers in Maryland →

Registry record

NPI: 1912124298
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2007
Record last updated: 12 Mar 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.