Individual
MRS. JAYSHREE SURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
9708 HARBIN CT, ELLICOTT CITY, MD 21042
(410) 493-1032
Mailing address
9708 HARBIN CT, ELLICOTT CITY, MD 21042-2368
(410) 493-1032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03015
MD
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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