Individual
MISS KELLY DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
4700 HARFORD RD, BALTIMORE, MD 21214-3204
(410) 678-3774
Mailing address
8347 ARBOR STATION WAY, PARKVILLE, MD 21234-4941
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01903
MD
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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