Individual
STACEY A HARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2200 KERNAN DR, GWYNN OAK, MD 21207-6665
(410) 448-2500
Mailing address
1576 DELLSWAY RD, TOWSON, MD 21286-5901
(571) 276-4411
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
06748
MD
225XP0019X
Physical Rehabilitation Occupational Therapist
06748
MD
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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