Organization
BEL AIR CENTER FOR PLASTIC AND HAND SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIE CAO (PRACTICE ADMINISTRATOR)
(410) 569-5155
Entity
Organization
Contact information
Practice address
2012 S TOLLGATE RD, SUITE, BEL AIR, MD 21015-5900
(410) 569-5155
Mailing address
PO BOX 845, BEL AIR, MD 21014-0845
(410) 569-5155
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
02803
MD
225XH1200X
Hand Occupational Therapist
Primary
04344
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416761900
—
MD
Enumeration date
12/09/2008
Last updated
04/04/2014
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