Individual
KATHERINE CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
PO BOX 64481, BALTIMORE, MD 21264-4481
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05186
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016806800
—
MD
Enumeration date
03/20/2008
Last updated
06/17/2008
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