Individual
MRS. SONYA L UMSTOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
610 N FOURTH ST, LAVALE, MD 21502-7216
(301) 729-0774
Mailing address
610 N FOURTH ST, LAVALE, MD 21502-7216
(301) 729-0774
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007064
PA
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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