Iandiataiyero, Khepera
Iandiataiyero, Khepera is an individual health care provider with primary practice located at 4011 Marjeff Pl Apt C, Nottingham MD 21236-4514. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Iandiataiyero, Khepera can be contacted via phone (410) 917-0524.Contact Information
Primary practice address
4011 Marjeff Pl Apt C
Nottingham MD 21236-4514
Phone: (410) 917-0524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 17169 | Maryland |
Profile Details
| NPI number | 1750746483 |
|---|---|
| LBN Legal business name | Iandiataiyero, Khepera |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2015 |
| Last updated | Dec 23rd, 2015 - about 11 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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