Individual
AJENA CALLAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
354 A CHRISTOPHER AVENUE, GAITHERSBURG, MD 20879
(301) 977-6400
Mailing address
1306 DAVID LN, FREDERICK, MD 21703-6041
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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