Individual
MRS. JOANNE MARIE EBERWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR
Contact information
Practice address
11845 GONTRUM RD, KINGSVILLE, MD 21087-1356
(410) 817-4165
(410) 222-6916
Mailing address
11845 GONTRUM RD, KINGSVILLE, MD 21087-1356
(410) 817-4165
(410) 222-6916
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
01697
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0902
—
MD
Enumeration date
02/22/2007
Last updated
07/08/2007
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