Individual
MRS. BEVERLY WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14235 PARK CENTER DR, LAUREL, MD 20707-5261
(301) 498-8100
Mailing address
729 ROSEWOOD RD, SEVERN, MD 21144-2069
(443) 846-7327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09017
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013522648
—
MD
Enumeration date
09/10/2020
Last updated
03/11/2025
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