Individual
ELISSA KATHERINE DZAMBASOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1750 E FAIRMOUNT AVE, BALTIMORE, MD 21231-1534
(443) 923-3870
Mailing address
815 BYNUM VIEW CT, ABINGDON, MD 21009-3024
(443) 567-0998
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09906
MD
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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