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Organization

PERRY POINT VAMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JACQUELINE OLIVIA TROTTER B.S. (OT INTERN)
(410) 642-2411
Entity
Organization

Contact information

Practice address
0 AVENUE D, BUILDING 80H, ROOM 201, PERRY POINT, MD 21902-1003
(410) 642-2411
Mailing address
66 COUNTRY DR, LEOLA, PA 17540-1717
(717) 656-0529

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary

Other

Enumeration date
06/23/2009
Last updated
06/23/2009
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