Individual
MEGAN GUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16505 VIRGINIA AVE, WILLIAMSPORT, MD 21795-1321
(301) 223-5221
Mailing address
16505 VIRGINIA AVE, WILLIAMSPORT, MD 21795-1321
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02883
MD
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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