Individual
JEAN-TOM GABRIEL NECESARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 VICTORY GALLOP CT, HAVRE DE GRACE, MD 21078-2596
(443) 655-6926
Mailing address
314 VICTORY GALLOP CT, HAVRE DE GRACE, MD 21078-2596
(443) 655-6926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08381
MD
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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