Individual
MAURA PANNEBECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5630 SHARON DR, GLEN ARM, MD 21057-9359
(410) 592-2562
Mailing address
5630 SHARON DR, GLEN ARM, MD 21057-9359
(443) 867-2979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09381
MD
Other
Enumeration date
08/03/2019
Last updated
03/27/2022
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