Individual
MRS. GAIL HILSEBERG DEITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
14502 GREENVIEW DRIVE, SUITE 406, LAUREL, MD 20708
(301) 362-0114
(866) 566-5311
Mailing address
53 GERARD AVENUE, TIMONIUM, MD 21093-3406
(410) 308-1639
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00550
MD
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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