Individual
MISS KATHLEEN MARGARET WYGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9256 BENDIX RD STE 105, COLUMBIA, MD 21045-1843
(410) 796-8499
Mailing address
9256 BENDIX RD STE 105, COLUMBIA, MD 21045-1843
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024516
NY
Other
Enumeration date
03/03/2020
Last updated
08/25/2024
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