| Organization Name: | NORTHWEST O.T. ASSOCIATES, INC. |
| NPI Number: | 1134310238 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACQUELINE WILSON (OWNER) |
| Mailing Address: | 15115 Eastview Dr Upperco |
| State: | MD US |
| Postal Code: | 211559746 |
| Phone Number: | 4104291906 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 08/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 01516 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |