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Individual

DEBORAH JEAN WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
610 DUTCHMANS LN, EASTON, MD 21601-3346
(410) 822-4000
Mailing address
12512 WETLAND VIEW CT, CORDOVA, MD 21625-2714
(410) 763-8547
(410) 763-8574

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04968
MD

Other

Enumeration date
05/25/2011
Last updated
05/25/2011
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