Provider Demographics
NPI:1992933733
Name:OFORI-ANSAH, KWABENA (DPT)
Entity type:Individual
Prefix:MR
First Name:KWABENA
Middle Name:
Last Name:OFORI-ANSAH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7651 MATAPEAKE BUSINESS DR STE 203
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-3042
Mailing Address - Country:US
Mailing Address - Phone:301-782-4600
Mailing Address - Fax:301-782-4601
Practice Address - Street 1:7651 MATAPEAKE BUSINESS DR STE 203
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-3042
Practice Address - Country:US
Practice Address - Phone:301-782-4600
Practice Address - Fax:301-782-4601
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD215872251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic