Individual
TAYLOR GOSNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 POT SPRING RD, LUTHERVILLE TIMONIUM, MD 21093-4445
(410) 583-5765
Mailing address
4604 FORGE ACRE DR, PERRY HALL, MD 21128-9016
(443) 414-1442
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08561
OT LICENSE
MD
Enumeration date
02/04/2019
Last updated
02/04/2019
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