Individual
CAROL RAEBURN-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
115 E MELROSE, BALTIMORE, MD 21212
(410) 435-9073
(410) 435-0761
Mailing address
4515 DRESDEN ROAD, PIKESVILLE, BALTIMORE, MD 21208
(410) 655-0345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04760
MD
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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