Individual
JENNIFER INOCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11630 GLEN ARM RD, GLEN ARM, MD 21057-9403
(410) 319-5035
(410) 592-3178
Mailing address
11630 GLEN ARM RD, GLEN ARM, MD 21057-9403
(410) 319-5035
(410) 592-3178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06361
MD
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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