Individual
MR. KIRUBADAS A PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
131 FOXBAY LN, GLEN BURNIE, MD 21061-6360
(717) 480-8375
Mailing address
131 FOXBAY LN, GLEN BURNIE, MD 21061-6360
(717) 480-8375
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006186L
PA
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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