Individual
MRS. CONSTANCE DAVIS HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1450 FURNACE AVE, GLEN BURNIE, MD 21060-7002
(410) 222-6911
Mailing address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5000
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
02356
MD
Other
Enumeration date
03/13/2007
Last updated
12/06/2018
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