Individual
MARY LONNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
307 INTERNATIONAL CIR, SUITE 100, HUNT VALLEY, MD 21030-1321
(410) 667-7200
Mailing address
307 INTERNATIONAL CIR, SUITE 100, HUNT VALLEY, MD 21030-1321
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007442-1
NY
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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