Individual
KELSEY ERIN MCGONIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
615 CHESTNUT AVE, BALTIMORE, MD 21204-3742
(410) 842-0419
Mailing address
615 CHESTNUT AVE, BALTIMORE, MD 21204-3742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08195
MD
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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