Individual
CONCETTA PERILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 VANDERWOOD RD, CATONSVILLE, MD 21228-1326
(410) 800-3639
Mailing address
916 VANDERWOOD RD, CATONSVILLE, MD 21228-1326
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04545
MD
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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