Individual
EMIKO TANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1410 FOREST DR STE 29, ANNAPOLIS, MD 21403-1446
(410) 280-8774
Mailing address
1160 SAINT GEORGE DR, ANNAPOLIS, MD 21409-5016
(410) 212-1669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08697
MD
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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