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Individual

MARY MAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
5328 100 LAUREL DR, ELKTON, MD 21921
(410) 398-8800
Mailing address
3110 FULTON WAY, SAINT ANN, MO 63074-3710

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
03/12/2019
Last updated
03/12/2019
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