Wodaski, Bryan John

Wodaski, Bryan John is an individual health care provider with primary practice located at 200 Glenn Street Ste 200, Cumberland MD 21502. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Wodaski, Bryan John can be contacted via phone (301) 759-4263.

Contact Information

Primary practice address
200 Glenn Street Ste 200 Cumberland MD 21502
Phone: (301) 759-4263
Fax: (301) 759-4461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 03241 Maryland

Profile Details

NPI number 1689682643
LBN Legal business name Wodaski, Bryan John
Credentials MS OTRL CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Mar 27th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689682643 NPPES
West Virginia MEDICAID 0159766000

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