Individual
MS. LIZA A BROWN-DICOSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
213 BALTIMORE AVE SW, GLEN BURNIE, MD 21061-3852
(443) 618-4143
Mailing address
213 BALTIMORE AVE SW, GLEN BURNIE, MD 21061-3852
(443) 618-4143
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03407
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419800000
—
MD
Enumeration date
12/26/2007
Last updated
07/18/2025
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