Individual
TANISHA COTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
515 BRIGHTFIELD RD, LUTHERVILLE, MD 21093-3643
(410) 296-1990
Mailing address
4049 ANNELLEN RD, BALTIMORE, MD 21215-7216
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MD
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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