Individual
MS. CAROLYN JESSICA STABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
9730 PATUXENT WOODS DR STE 100, COLUMBIA, MD 21046-1626
(667) 205-4000
Mailing address
7924 VERNON AVE, BALTIMORE, MD 21236-3645
(410) 591-3527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08532
MD
Other
Enumeration date
12/03/2018
Last updated
08/02/2021
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