Individual
MS. DIANE PRISCILLA BRENT-FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 618-5500
(301) 816-7170
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE ATTN: SANJAY MATHUR, 3 WEST DATA MGMT, ROCKVILLE, MD 20852-4908
(301) 816-7446
(301) 816-7174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01406
MD
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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