Individual
MS. KATHRYN ALICE EWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED., OTR/L, BCBA
Contact information
Practice address
526 BELFAST RD, SPARKS, MD 21152-9100
(410) 935-9511
Mailing address
526 BELFAST RD, SPARKS, MD 21152-9100
(410) 935-9511
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16374
MD
225XP0200X
Pediatric Occupational Therapist
05222
MD
Other
Enumeration date
08/23/2007
Last updated
09/30/2016
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