OrganizationActive
613 Hammonds Lane Operations LLC
NPI 1871947259 · Occupational Therapist · Brooklyn Park, MD
Provider details
- NPI number
- 1871947259
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Michael Berg, Assistant Secretary
- License
- 02009 (MD)
Mailing address
613 Hammonds Ln
Brooklyn Park, MD 21225-3351
Registry dates
- Enumerated
- 2016-04-21
- Last updated
- 2017-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.