Individual
EMILY ROSE NITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16 FUSTING AVE, BALTIMORE, MD 21228-4413
(410) 747-1800
Mailing address
1111 LINDEN AVE, HALETHORPE, MD 21227-2336
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
0207212
MD
224Z00000X
Occupational Therapy Assistant
Primary
A01694
MD
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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