Individual
VIDYA PARAWATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1110 TOWN CENTER BLVD, ODENTON, MD 21113-1233
(410) 672-8091
Mailing address
1110 TOWN CENTER BLVD STE I, ODENTON, MD 21113-1232
(410) 672-8091
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05902
MD
Other
Enumeration date
10/23/2014
Last updated
01/16/2024
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