Individual
MISS KATHERINE ANN DISCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8955 GUILFORD RD, STE 120, COLUMBIA, MD 21046-2651
(410) 796-8499
(877) 384-9028
Mailing address
PO BOX 1343, CLARKSTON, MI 48347-1343
(410) 796-8499
(877) 384-9028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04441
MD
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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