Individual
CARRIE MAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
108 W MAIN ST, FRUITLAND, MD 21826-1663
(410) 677-5805
Mailing address
4135 ELK CREEK DR, SALISBURY, MD 21804-2557
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
04388
MD
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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