Individual
AMANDA SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7210 RUTHERFORD RD STE G, BALTIMORE, MD 21244-2719
(443) 364-8182
Mailing address
2611 HAVEN OAK CT, ELLICOTT CITY, MD 21042-7800
(443) 545-4881
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
01/24/2022
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