Provider Demographics
NPI:1215703897
Name:BANSKOTA, ESHA (OTR)
Entity type:Individual
Prefix:
First Name:ESHA
Middle Name:
Last Name:BANSKOTA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 GUILLEMOT DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2108
Mailing Address - Country:US
Mailing Address - Phone:301-503-3279
Mailing Address - Fax:
Practice Address - Street 1:1208 N BELGRADE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3024
Practice Address - Country:US
Practice Address - Phone:301-928-2407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist