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Vernell Dezurn, OTA/LT

Occupational Therapy Assistant in Baltimore, MD. Individual provider (NPI-1).

NPI number1386989697
StatusActive
Last updated in NPPESNov 28, 2012

Details

NPI
1386989697
Entity type
Individual (NPI-1)
Name
Vernell Dezurn
Credential
OTA/LT
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 28, 2012
Last updated
Nov 28, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantT00248MDYes

Practice location

7 Spring Creek Way
Baltimore, MD 21234-8710

Phone 443-831-3234

Mailing address

7 Spring Creek Way
Baltimore, MD 21234-8710

Phone 443-831-3234

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Occupational Therapy Assistant providers in Baltimore, MD

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