Individual
LYDIA NEMIROVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
8008 NIGHTWIND CT, ELKRIDGE, MD 21075-6463
(443) 472-2449
Mailing address
8008 NIGHTWIND CT, ELKRIDGE, MD 21075-6463
(443) 472-2449
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07124
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
487207000
—
MD
Enumeration date
04/28/2015
Last updated
10/21/2021
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