Individual
TONI RENEE JESSOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1836 GREENE TREE RD, PIKESVILLE, MD 21208-1381
(410) 486-9992
Mailing address
7003 PINECREST RD, BALTIMORE, MD 21228-1041
(443) 562-5219
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
02049
MD
174400000X
Specialist
Primary
2049
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063460723
PRIVATE INSURANCE
MD
05
—
1063460723
—
MD
Enumeration date
05/05/2006
Last updated
03/27/2020
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