Individual
MRS. ELLADA RAKHMINOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8600 LA SALLE RD STE 335, BALTIMORE, MD 21286-2009
(410) 823-0880
Mailing address
8600 LA SALLE RD STE 335, BALTIMORE, MD 21286-2009
(410) 823-0880
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06744
MD
Other
Enumeration date
08/23/2011
Last updated
08/12/2016
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