Individual
GAYLE BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 SWANHILL CT, BALTIMORE, MD 21208-1607
(443) 838-2516
Mailing address
116 SWANHILL CT, BALTIMORE, MD 21208-1607
(443) 838-2516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04143
MD
Other
Enumeration date
04/19/2007
Last updated
09/09/2022
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