Mrs Angela Renee Liston, OTR/L is a
Occupational Therapist based in West River, Maryland. Mrs Angela Renee Liston is licensed to practice in Maryland (license number 05409) and her current practice location is
4322 Owensbrooke Ct, West River, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 867-4626.
NPI number for Mrs Angela Renee Liston is 1750616413 and her current mailing address is 4322 Owensbrooke Ct, West River, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750616413.
Healthcare Provider's Profile
Full Name | Mrs Angela Renee Liston |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 4322 Owensbrooke Ct, West River, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750616413
- Provider Enumeration Date: 10/13/2009
- Last Update Date: 10/13/2009
Medical Identifiers
Medical identifiers for Mrs Angela Renee Liston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750616413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 05409 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Angela Renee Liston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Angela Renee Liston, OTR/L 4322 Owensbrooke Ct, West River, MD 20778-9791 Ph: (410) 867-4626 | Mrs Angela Renee Liston, OTR/L 4322 Owensbrooke Ct, West River, MD 20778-9791 Ph: (410) 867-4626 |
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