Individual
JAVONNA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9511 WHITEHURST DR, OWINGS MILLS, MD 21117-4742
(410) 356-3246
Mailing address
9511 WHITEHURST DR, OWINGS MILLS, MD 21117-4742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07267
MD
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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