Individual
JOHN MICHAEL CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
515 BRIGHTFIELD RD, LUTHERVILLE, MD 21093-3643
(410) 296-1990
(410) 321-4936
Mailing address
515 BRIGHTFIELD RD, LUTHERVILLE, MD 21093-3643
(410) 296-1990
(410) 321-4936
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01606
MD
Other
Enumeration date
08/06/2009
Last updated
10/20/2009
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