Individual
MELANIE J CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1608 LIGHT ST, BALTIMORE, MD 21230-4917
(410) 746-4032
Mailing address
1608 LIGHT ST, BALTIMORE, MD 21230-4917
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05588
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05588
MARYLAND BOARD OF OCCUPATIONAL THERAPY
MD
Enumeration date
05/21/2020
Last updated
05/21/2020
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