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Individual

MARY DIEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
730 FURNACE ST, CUMBERLAND, MD 21502-1564
(301) 759-2757
Mailing address
11607 POND COVE RD SW, MIDLOTHIAN, MD 21543-2033
(301) 759-2757

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07969
MD
225XP0200X
Pediatric Occupational Therapist
07969
MD
225XP0200X
Pediatric Occupational Therapist
1842
WV

Other

Enumeration date
09/12/2016
Last updated
03/07/2019
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