Provider Demographics
NPI:1548947393
Name:FOSTIK, ANNA MARIE (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:MARIE
Last Name:FOSTIK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15850 CRABBS BRANCH WAY # 150
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2622
Mailing Address - Country:US
Mailing Address - Phone:301-869-7505
Mailing Address - Fax:301-869-7515
Practice Address - Street 1:625 COMMUNITY WAY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2301
Practice Address - Country:US
Practice Address - Phone:717-393-0425
Practice Address - Fax:717-455-3838
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09715225X00000X
PAOC019965225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty