Individual
VANITHA JASMINE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
200 E NORTH AVE, BALTIMORE, MD 21202-4888
(443) 984-2000
Mailing address
5923 HILLTOP AVE, BALTIMORE, MD 21207-5059
(443) 939-1659
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06473
MD
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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