Individual
MS. DIANE CHILDRESS MCCARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3310 OAK MANOR DR., GLEN BURNIE, MD 21061
(410) 222-6423
Mailing address
2614 MELBA RD, ELLICOTT CITY, MD 21042-1834
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
02076
MD
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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