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Organization

EZ THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARYAM NOURMAND (MANAGER)
(443) 801-3407
Entity
Organization

Contact information

Practice address
2219 YORK RD STE 104, TIMONIUM, MD 21093-3174
(410) 696-5100
(410) 870-7540
Mailing address
2219 YORK RD STE 106, TIMONIUM, MD 21093-3139
(410) 696-5100

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
231H00000X
Audiologist
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
01/08/2020
Last updated
08/30/2022
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