Individual
SARA BOULAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14200 LAUREL PARK DR, LAUREL, MD 20707-5201
(410) 724-3423
Mailing address
14200 LAUREL PARK DR, LAUREL, MD 20707-5201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06989
MD
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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