Individual
REBECCA KRYSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12158 CENTRAL AVE, MITCHELLVILLE, MD 20721-1932
(301) 390-3076
Mailing address
12158 CENTRAL AVE, MITCHELLVILLE, MD 20721-1932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08314
MD
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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