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Individual

KORI DESIDERIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
3825 GREENSPRING AVE, BALTIMORE, MD 21211-1310
(443) 923-7800
Mailing address
2 W HEATH ST, BALTIMORE, MD 21230-4423
(908) 770-1897

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08435
MD

Other

Enumeration date
08/08/2018
Last updated
08/08/2018
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