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Individual

BANDANA BHUSAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
310 GENESIS WAY, SEVERNA PARK, MD 21146-1762
(410) 544-4220
Mailing address
7103 ROLLING BEND RD APT C, BALTIMORE, MD 21244-2325
(443) 722-1049

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02463
MD

Other

Enumeration date
04/24/2017
Last updated
04/24/2017
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