Individual
MARY E BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4617 LIVE OAK CT, ELLICOTT CITY, MD 21043-6717
(410) 236-9995
Mailing address
4617 LIVE OAK CT, ELLICOTT CITY, MD 21043-6717
(410) 236-9995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02190
MD
Other
Enumeration date
03/24/2012
Last updated
03/24/2012
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