Individual
MRS. LORI KRISTEN WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3000 N RIDGE RD, ELLICOTT CITY, MD 21043-3311
(410) 480-1547
Mailing address
5909 HANNA RD, ELDERSBURG, MD 21784-6718
(410) 795-2320
(410) 549-2773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03187
MD
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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