Individual
MICHELLE JOANNA BOMBICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9801 BROKENLAND PKWY, SUITE 103, COLUMBIA, MD 21046-3080
(410) 290-6533
Mailing address
408 SHADE TREE PL APT B, CATONSVILLE, MD 21228-1866
(410) 869-8351
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04024
MD
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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