Individual
MARIA MIKAELA VICERRA BORJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3632 WILLOW ST, HAMPSTEAD, MD 21074-1890
(443) 540-2323
Mailing address
615 CHESTNUT AVE, BALTIMORE, MD 21204-3742
(410) 825-7423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08981
MD
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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