Individual
LARISSA TEAL PAULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8638 VETERANS HWY FL 1, MILLERSVILLE, MD 21108-1422
(443) 481-1140
(410) 729-4526
Mailing address
201 DEFENSE HWY STE 100, ANNAPOLIS, MD 21401-8902
(667) 204-7000
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06826
MD
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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