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Individual

OLGA VIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14625 BALTIMORE AVE # 343, LAUREL, MD 20707-4902
(202) 830-1396
Mailing address
527 FOX RIVER HILLS WAY, GLEN BURNIE, MD 21060-8489

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A03195
MD
224Z00000X
Occupational Therapy Assistant
Primary
OTA200001266
DC

Other

Enumeration date
08/16/2024
Last updated
08/16/2024
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