Individual
ELOUISE JANE TIMBANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14014 MARSH PIKE, HAGERSTOWN, MD 21742-1638
(301) 733-8700
Mailing address
14014 MARSH PIKE, HAGERSTOWN, MD 21742-1638
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07458
MD
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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