Individual
GRACE MIDDLESTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 GWYNNS MILL CT STE I, OWINGS MILLS, MD 21117-3528
(410) 849-9496
Mailing address
7 GWYNNS MILL CT STE I, OWINGS MILLS, MD 21117-3528
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10578
MD
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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