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Individual

MISS MARIA ISABELITA PARANE TIBON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
10714 POTOMAC TENNIS LN, POTOMAC, MD 20854-4418
(314) 863-0769
Mailing address
10714 POTOMAC TENNIS LANE, POTOMAC, MD 20854
(314) 863-0769

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05747
MD

Other

Enumeration date
08/28/2012
Last updated
08/28/2012
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