Individual
JAMIE SANDBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3616 HORNED OWL CT, ELLICOTT CITY, MD 21042-3743
(443) 812-6396
Mailing address
3616 HORNED OWL CT, ELLICOTT CITY, MD 21042-3743
(443) 812-6396
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
04490
MD
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
04490
MD
225XN1300X
Neurorehabilitation Occupational Therapist
04490
MD
225XP0200X
Pediatric Occupational Therapist
Primary
04490
MD
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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