Individual
MISS CHIZARRA LATEEFAH DASHIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 W LANCASTER AVE, HAVERFORD, PA 19041-1419
(800) 550-9212
Mailing address
4011 BEDFORD RD, BALTIMORE, MD 21207-4605
(240) 421-6947
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01741
MD
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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