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Individual

GETRUDE MENGOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1 PRICE DR, ELKTON, MD 21921-6731
(410) 398-6474
Mailing address
801 PEBBLE BEACH DR, ELKTON, MD 21921-6368

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02102
MD

Other

Enumeration date
01/05/2015
Last updated
01/05/2015
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