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Individual

MARY MONISA DAVIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
3701 WOODLEA AVE, BALTIMORE, MD 21206-5033
(410) 961-4415
Mailing address
3701 WOODLEA AVE, BALTIMORE, MD 21206-5033
(410) 961-4415

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
AO1480
MD

Other

Enumeration date
11/04/2010
Last updated
11/04/2010
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