Individual
VERNELL DEZURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/LT
Contact information
Practice address
7 SPRING CREEK WAY, BALTIMORE, MD 21234-8710
(443) 831-3234
Mailing address
7 SPRING CREEK WAY, BALTIMORE, MD 21234-8710
(443) 831-3234
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T00248
MD
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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