Individual
TERESA CAROL VITEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2434 W BELVEDERE AVE, BALTIMORE, MD 21215-5267
(410) 601-2256
(410) 601-2928
Mailing address
8 DURNESS CT, NOTTINGHAM, MD 21236-3314
(410) 601-2256
(410) 601-2928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01494
MD
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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