Individual
JYSSEKA CAMPBELL-GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14409 GREENVIEW DR STE 102, LAUREL, MD 20708-4213
(301) 498-8100
(301) 498-0009
Mailing address
PO BOX 500, BROOKEVILLE, MD 20833-0500
(301) 498-8100
(301) 498-0009
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02445
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A02445
MARYLAND BOARD OF OCCUPATIONAL THERAPY PRACTICE
MD
Enumeration date
01/24/2019
Last updated
12/06/2022
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