Provider Demographics
NPI:1992948293
Name:BABIAK, CHRYSTYNA E
Entity type:Individual
Prefix:
First Name:CHRYSTYNA
Middle Name:E
Last Name:BABIAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15420 DURANT ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-4211
Mailing Address - Country:US
Mailing Address - Phone:301-384-1119
Mailing Address - Fax:
Practice Address - Street 1:15420 DURANT ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-4211
Practice Address - Country:US
Practice Address - Phone:301-384-1119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01561225XP0200X
VA0119000532225XP0200X
DCOT25225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics