Individual
JESSICA KATHLEEN HARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
531 STEVENSON LN, TOWSON, MD 21286-7607
(410) 307-1295
Mailing address
531 STEVENSON LN, TOWSON, MD 21286-7607
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08266
MD
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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