Individual
MS. JESSICA MARIE BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT-L
Contact information
Practice address
9200 TABARD PL, FREDERICK, MD 21704-7381
(301) 922-5676
Mailing address
9200 TABARD PL, FREDERICK, MD 21704-7381
(301) 922-5676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04685
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093575100
—
MD
Enumeration date
03/22/2007
Last updated
07/05/2017
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