Provider Demographics
NPI:1609683002
Name:ORHOEVWRI, ELOHOR DANIELLA (OTA STUDENT)
Entity type:Individual
Prefix:
First Name:ELOHOR
Middle Name:DANIELLA
Last Name:ORHOEVWRI
Suffix:
Gender:F
Credentials:OTA STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 IVY CLUB LN APT 2213
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4516
Mailing Address - Country:US
Mailing Address - Phone:240-714-2494
Mailing Address - Fax:
Practice Address - Street 1:20500 SENECA MEADOWS PKWY STE 101
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7009
Practice Address - Country:US
Practice Address - Phone:301-349-6145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program