Individual
NERISSA WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L CPAM
Contact information
Practice address
9891 BROKEN LAND PKWY, COLUMBIA, MD 21046-1165
(866) 566-3510
(866) 566-5311
Mailing address
9891 BROKEN LAND PKWY, COLUMBIA, MD 21046-1165
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07484
MD
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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